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General NPI Number Information
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NPI Number | 1750797866
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Entity Type | Individual
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Provider Name | AMANDA WEISHAR PATTERSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 500 CABELA DR
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City | TRIADELPHIA
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State | WV
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Zip | 26059-1044
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Country | US
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Telephone | 618-618-1011
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Fax | 304-551-0201
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Provider Business Mailing Address
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Address Line | 136 WESTGATE DR
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City | WHEELING
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State | WV
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Zip | 26003-4958
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Country | US
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Telephone | 304-281-0103
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Fax | 304-232-6128
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2743
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA063263
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 643
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.004347RX
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License Number State | OH
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