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NPI 1093920571

NPI 1093920571 : KIMBERLY CURRY HARLEY IMF : CAMARILLO, CA

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General NPI Number Information
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    NPI Number           |    1093920571
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY CURRY HARLEY IMF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1305 DEL NORTE RD 
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93010-8436
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    Country              |    US
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    Telephone            |    805-485-6114
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    424 HILLSBOROUGH ST 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91361-1330
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    Country              |    US
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    Telephone            |    805-497-6292
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    IMF 50268
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    License Number State |    CA
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