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General NPI Number Information
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NPI Number | 1992313068
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Entity Type | Individual
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Provider Name | ZACHARY PATTERSON DMD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 2920 PROFESSIONAL PKWY
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City | AUGUSTA
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State | GA
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Zip | 30907-6527
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Country | US
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Telephone | 706-868-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 WACCAMAW DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-2023
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Country | US
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Telephone | 229-425-6548
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN016075
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License Number State | GA
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