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NPI Code Detail

MEDICARE: DAVID PATE MRE

MEDICARE: DAVID PATE MRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral CounselorTN

General Provider Information

NPI Number : 1467201970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID PATE MRE
Provider Business Mailing Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number :
Provider Business Practice Location Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 05/16/2024

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Directions to “ DAVID PATE MRE” Practice Location

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