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General NPI Number Information
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NPI Number | 1912844689
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Entity Type | Individual
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Provider Name | KIMBERLY SUE PATTON FNP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 3316 WILLIAMS DR STE 150
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City | GEORGETOWN
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State | TX
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Zip | 78628-2891
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Country | US
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Telephone | 512-244-4272
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S KINGS CANYON DR
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City | CEDAR PARK
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State | TX
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Zip | 78613-3142
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Country | US
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Telephone | 760-213-9449
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 987059
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License Number State | TX
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