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Individual
MIRIAM PATTERSON DINEEN
Active
Individual
MIRIAM PATTERSON DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164651956
—
NC
05
—
1164651956
—
VA
05
—
1871725556
—
NC
01
—
NCN443A950
MEDICARE PTAN
NC
01
—
NCN443C
MEDICARE PTAN
NC
Enumeration date
07/14/2009
Last updated
06/15/2026
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