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General NPI Number Information
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NPI Number | 1265034912
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Entity Type | Individual
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Provider Name | CHEYANNE KAY BURNS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 675 W FOOTHILL BLVD
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City | CLAREMONT
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State | CA
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Zip | 91711-3475
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Country | US
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Telephone | 951-201-7192
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 PARKSIDE AVE
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City | MENTONE
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State | CA
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Zip | 92359-9522
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Country | US
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Telephone | 951-201-7192
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95015638
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License Number State | CA
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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 | 1105370
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License Number State | TX
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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 | APRN11035669
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License Number State | FL
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