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General NPI Number Information
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NPI Number | 1841021110
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Entity Type | Individual
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Provider Name | CADE EVAN PATTON
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Gender | Male
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 502-287-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W 19TH ST
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City | HUNTINGBURG
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State | IN
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Zip | 47542-9547
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Country | US
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Telephone | 812-309-8236
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 45023383A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2971578
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License Number State | ID
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