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General NPI Number Information
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NPI Number | 1912314600
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Entity Type | Individual
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Provider Name | KATHLEEN R PATTERSON A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 827 S JACKSON ST
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City | OSCEOLA
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State | IA
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Zip | 50213-1666
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Country | US
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Telephone | 641-342-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 827 S JACKSON ST
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City | OSCEOLA
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State | IA
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Zip | 50213-1666
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Country | US
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Telephone | 641-342-2128
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A119591
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License Number State | IA
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