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General NPI Number Information
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NPI Number | 1881802585
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Entity Type | Organization
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Legal Business Name | CONTINA MCCLAIN PATTON ARNP PLLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 1512 CRUMS LN., STE 305
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City | LOUISVILLE
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State | KY
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Zip | 40216
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Country | US
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Telephone | 502-409-5088
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Fax | 502-409-5092
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Provider Business Mailing Address
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Address Line | 5407 GALAXIE DR
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City | LOUISVILLE
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State | KY
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Zip | 40258-3329
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Country | US
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Telephone | 502-299-1827
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONTINA A MCCLAIN-PATTON
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Credential |
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Telephone | 502-409-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4354P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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