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General NPI Number Information
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NPI Number | 1386258770
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Entity Type | Individual
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Provider Name | PATRICK MAINA MUCHINA APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12616 W 62ND TER STE 112
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City | SHAWNEE
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State | KS
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Zip | 66216-1863
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Country | US
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Telephone | 913-225-9783
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Fax | 913-215-9358
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Provider Business Mailing Address
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Address Line | 12616 W 62ND TER STE 112
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City | SHAWNEE
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State | KS
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Zip | 66216-1863
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Country | US
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Telephone | 913-225-9783
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Fax | 913-215-9358
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-79500-042
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License Number State | KS
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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 | 2023046341
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License Number State | MO
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