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NPI 1912744582

NPI 1912744582 : ADAM FARR PATTERSON PA-C : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1912744582
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM FARR PATTERSON PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2024
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    Last Update Date     |    07/11/2024
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Provider Practice Location Address
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    Address Line         |    8585 E HARTFORD DR STE 103 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-5472
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    Country              |    US
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    Telephone            |    480-562-6600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8585 E HARTFORD DR STE 103 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-5472
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    10451
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    License Number State |    AZ
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