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Individual
MR. ROBERT LEE PATE
Active
Individual
MR. ROBERT LEE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202616
MEDCOST
—
Enumeration date
08/10/2005
Last updated
05/03/2013
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