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General NPI Number Information
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NPI Number | 1508656026
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Entity Type | Individual
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Provider Name | KIRBI GUTHMAN RN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 10601 N RIVERSIDE DR
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City | FORT WORTH
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State | TX
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Zip | 76244-2118
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Country | US
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Telephone | 817-347-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 5536 CAMARILLO DR
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City | FORT WORTH
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State | TX
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Zip | 76244-6254
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Country | US
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Telephone | 979-243-4111
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1091891
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License Number State | TX
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