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General NPI Number Information
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NPI Number | 1780975722
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Entity Type | Individual
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Provider Name | KATHRYN ANN PATRICK PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1397 WEIMER RD
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City | TAOS
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State | NM
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Zip | 87571
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Country | US
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Telephone | 575-758-5895
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CALLE RINCONADA
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City | RANCHOS DE TAOS
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State | NM
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Zip | 87557-7950
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Country | US
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Telephone | 303-898-2486
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18110
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP00007201
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PC00000290
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License Number State | NM
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