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General NPI Number Information
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NPI Number | 1851917025
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Entity Type | Organization
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Legal Business Name | PATTERSON EYE ASSOCIATES
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 1800 W PALMETTO ST
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City | FLORENCE
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State | SC
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Zip | 29501-4138
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Country | US
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Telephone | 843-665-1100
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Fax | 943-942-1499
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Provider Business Mailing Address
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Address Line | 1800 W PALMETTO ST
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City | FLORENCE
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State | SC
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Zip | 29501-4138
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Country | US
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Telephone | 843-665-1100
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Fax | 843-942-1499
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK PATTERSON
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Credential |
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Telephone | 843-665-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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