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General NPI Number Information
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NPI Number | 1225847940
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Entity Type | Individual
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Provider Name | PATRICK KIMANI WAIRIRI APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 04/05/2026
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Provider Practice Location Address
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Address Line | 9259 CRYSTAL FALLS WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-4054
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Country | US
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Telephone | 972-955-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 9012 CROSS OAKS RANCH BLVD
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City | CROSS ROADS
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State | TX
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Zip | 76227-4112
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Country | US
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Telephone | 972-955-7335
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95427726
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95038291
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License Number State | CA
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