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General NPI Number Information
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NPI Number | 1689309593
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Entity Type | Individual
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Provider Name | PATRICK BENSON KINUTHIA
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Gender | Male
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 6001 BARTON HILLS DR APT 514
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City | FORT WORTH
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State | TX
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Zip | 76112-2773
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Country | US
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Telephone | 972-348-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 BARTON HILLS DR APT 514
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City | FORT WORTH
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State | TX
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Zip | 76112-2773
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Country | US
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Telephone | 972-348-8750
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024195691
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 850145
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License Number State | TX
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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 | D185371
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1096015
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License Number State | TX
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