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General NPI Number Information
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NPI Number | 1073026191
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Entity Type | Individual
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Provider Name | KENDRA FOREMAN NP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2017
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3062 CHURN CREEK RD
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City | REDDING
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State | CA
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Zip | 96002-2124
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Country | US
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Telephone | 530-221-0976
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Fax |
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Provider Business Mailing Address
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Address Line | 970 LAWSHE RD
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City | SENOIA
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State | GA
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Zip | 30276-1988
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Country | US
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Telephone | 619-309-9410
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Fax | 951-672-3911
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN274096
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-154446
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 226301
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95007714
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License Number State | CA
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