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General NPI Number Information
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NPI Number | 1932563491
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Entity Type | Individual
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Provider Name | NAEKA PATTERSON MS, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 925 FRANKLIN ST SE SUITE A
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4302
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Country | US
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Telephone | 256-265-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHADSWALK LN
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City | MADISON
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State | AL
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Zip | 35756-5408
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Country | US
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Telephone | 540-529-1392
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Fax | 256-265-7020
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1031
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License Number State | AL
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