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General NPI Number Information
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NPI Number | 1093114290
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Entity Type | Individual
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Provider Name | KIMBERLEY DURR PMHNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1050 LAKES DR STE 225
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City | WEST COVINA
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State | CA
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Zip | 91790-2910
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 1050 LAKES DR STE 225
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City | WEST COVINA
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State | CA
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Zip | 91790-2910
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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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 | NP95021982
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License Number State | CA
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