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General NPI Number Information
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NPI Number | 1790045722
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Entity Type | Individual
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Provider Name | JAMES STOCKTON PATTON APRN, FNP-BC, NP-C
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Gender | Male
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 28369 DAVIS PKWY STE 402
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City | WARRENVILLE
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State | IL
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Zip | 60555-3036
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Country | US
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Telephone | 630-791-9391
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Fax | 630-791-9758
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Provider Business Mailing Address
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Address Line | 1305 S MICHIGAN AVE APT 1502
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City | CHICAGO
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State | IL
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Zip | 60605-3402
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Country | US
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Telephone | 601-559-7548
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R877834
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209010476
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License Number State | IL
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