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General NPI Number Information
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NPI Number | 1962408997
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Entity Type | Individual
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Provider Name | VERONICA MICHELLE PATTERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 641 HOSPITAL RD SUITE 4
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City | COMMERCE
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State | GA
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Zip | 30529-1155
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Country | US
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Telephone | 706-335-2777
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Fax | 706-335-2788
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Provider Business Mailing Address
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Address Line | 641 HOSPITAL RD SUITE 4
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City | COMMERCE
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State | GA
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Zip | 30529-1155
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Country | US
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Telephone | 706-335-2777
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Fax | 706-335-2788
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 043107
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License Number State | GA
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