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General NPI Number Information
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NPI Number | 1811181647
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Entity Type | Individual
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Provider Name | MICHAEL RICHARD PATTERSON DC
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Gender | Male
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 3317 LINCOLN HWY E
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City | PARADISE
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State | PA
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Zip | 12562-9613
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Country | US
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Telephone | 717-768-3118
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 LINCOLN HWY E
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City | PARADISE
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State | PA
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Zip | 12562-9613
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Country | US
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Telephone | 717-768-3118
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 003404 L
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License Number State | PA
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