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General NPI Number Information
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NPI Number | 1578479507
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Entity Type | Individual
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Provider Name | BENJAMIN A KAKRITZ
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Gender | Male
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 11212 TX-151
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City | SAN ANTONIO
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State | TX
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Zip | 78251
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Country | US
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Telephone | 210-703-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 14214 SARATOGA PASS
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City | SAN ANTONIO
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State | TX
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Zip | 78254-1891
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Country | US
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Telephone | 210-803-4509
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 1044714
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License Number State | TX
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