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General NPI Number Information
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NPI Number | 1295613685
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Entity Type | Organization
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Legal Business Name | KIMBERLY BURTON, INC.
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 4750 QUAIL LAKES DR STE C5
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City | STOCKTON
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State | CA
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Zip | 95207-6471
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Country | US
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Telephone | 209-406-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 2905 SEBASTAN LN
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City | STOCKTON
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State | CA
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Zip | 95212-2845
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Country | US
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Telephone | 209-471-1259
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. KIMBERLY AHN BURTON
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Credential | MA
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Telephone | 209-406-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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