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General NPI Number Information
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NPI Number | 1972713790
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Entity Type | Individual
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Provider Name | DEANNA JOYCE PATTON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 801 13TH AVE
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City | ALBANY
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State | GA
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Zip | 31701-1340
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Country | US
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Telephone | 229-436-6688
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Fax | 229-436-0307
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Provider Business Mailing Address
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Address Line | 100 ELIZABETH CT
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City | LEESBURG
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State | GA
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Zip | 31763-5850
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Country | US
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Telephone | 229-886-8676
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3364212
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 036987
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License Number State | GA
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