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General NPI Number Information
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NPI Number | 1063175032
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Entity Type | Individual
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Provider Name | KIMBERLY JEAN BURTON DPT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 43875 WASHINGTON ST STE G
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City | PALM DESERT
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State | CA
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Zip | 92211-8249
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Country | US
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Telephone | 888-439-1295
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Fax | 888-405-0638
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Provider Business Mailing Address
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Address Line | 2208 N BLANDO RD
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City | PALM SPRINGS
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State | CA
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Zip | 92262-3318
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Country | US
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Telephone | 760-409-8262
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 14695
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14695
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License Number State | CA
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