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General NPI Number Information
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NPI Number | 1831755396
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Entity Type | Individual
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Provider Name | CALVIN PATTEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 1 BARNES JEW HOSP PLZ
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1003
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Country | US
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Telephone | 314-454-5692
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Fax |
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Provider Business Mailing Address
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Address Line | 10216 ROUTE 98
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City | ALEXANDER
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State | NY
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Zip | 14005-9735
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2022019338
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License Number State | MO
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