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General NPI Number Information
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NPI Number | 1902160930
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Entity Type | Individual
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Provider Name | COLLEEN HILL PATTON PA
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 100 BUCKWALTER PLACE BLVD STE 130
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City | BLUFFTON
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State | SC
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Zip | 29910-5023
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Country | US
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Telephone | 843-836-7101
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Fax | 843-836-7112
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Provider Business Mailing Address
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Address Line | 45 HOSPITAL CENTER CMNS
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2837
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Country | US
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Telephone | 843-689-2895
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Fax | 843-689-9270
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 103689
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110003919
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3565
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License Number State | SC
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