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General NPI Number Information
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NPI Number | 1821903113
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Entity Type | Individual
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Provider Name | JAMES DALLAS PATE BCNP
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Gender | Male
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5219
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Country | US
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Telephone | 440-827-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 4784 MILLS POINTE WAY UNIT 12
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City | WESTLAKE
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State | OH
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Zip | 44145-5041
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Country | US
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Telephone | 210-267-7451
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0042898
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License Number State | OH
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