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General NPI Number Information
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NPI Number | 1134640410
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Entity Type | Individual
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Provider Name | MATTHEW HATFIELD DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 3448 W 143RD TER
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City | LEAWOOD
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State | KS
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Zip | 66224-3654
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Country | US
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Telephone | 816-932-3679
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2025000519
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 43-557555-051
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License Number State | KS
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