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General NPI Number Information
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NPI Number | 1306434766
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Entity Type | Individual
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Provider Name | PATRICK BOOTH DNP
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Gender | Male
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3001 HOSPITAL DR
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City | CHEVERLY
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State | MD
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Zip | 20785-1189
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Country | US
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Telephone | 301-618-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3816 ARCHER PL
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City | KENSINGTON
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State | MD
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Zip | 20895-1601
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Country | US
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Telephone | 302-528-2511
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R231254
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License Number State | MD
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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 | 0024192693
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R231254
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License Number State | MD
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