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General NPI Number Information
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NPI Number | 1790191419
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Entity Type | Organization
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Legal Business Name | PATTON PSYCHOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 17501 BISCAYNE BLVD STE 450
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City | AVENTURA
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State | FL
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Zip | 33160-4806
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Country | US
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Telephone | 786-519-1088
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Fax | 305-933-5733
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Provider Business Mailing Address
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Address Line | 17501 BISCAYNE BLVD STE 450
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City | AVENTURA
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State | FL
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Zip | 33160-4806
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Country | US
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Telephone | 786-519-1088
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Fax | 305-933-5733
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL NEUROPSYCHOLOGIS
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Name | DR. DOYLE E PATTON
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Credential | PH.D.
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Telephone | 786-519-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6970
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY6970
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License Number State | FL
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