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General NPI Number Information
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NPI Number | 1023323334
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Entity Type | Individual
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Provider Name | BRENDA KIM MEANS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 3801 LAS POSAS RD STE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-1425
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Country | US
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Telephone | 805-477-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 LAS POSAS RD STE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-1425
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Country | US
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Telephone | 805-477-2310
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21956
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License Number State | CA
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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 | F336209
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License Number State | NY
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