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General NPI Number Information
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NPI Number | 1891651337
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Entity Type | Individual
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Provider Name | SCOTT PATTERSON CT
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Gender | Male
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 8402 BLACKJACK RD
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City | MOUNT VERNON
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State | OH
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Zip | 43050-9193
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Country | US
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Telephone | 740-397-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 21530 NEWCASTLE RD
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City | GAMBIER
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State | OH
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Zip | 43022-9601
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Country | US
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Telephone | 740-485-0834
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | C.2507361-TRNE
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License Number State | OH
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