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General NPI Number Information
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NPI Number | 1821972092
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Entity Type | Individual
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Provider Name | JENNIFER PATTON
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1890 SANDALWOOD DR
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City | SANTA MARIA
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State | CA
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Zip | 93455-2846
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Country | US
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Telephone | 805-361-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 PIONEER TRAIL RD
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City | PASO ROBLES
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State | CA
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Zip | 93446-4754
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Country | US
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Telephone | 803-200-5254
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | E3B8519653
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License Number State | CA
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