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General NPI Number Information
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NPI Number | 1538741426
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Entity Type | Individual
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Provider Name | BRENDA KANYUA KIMATHI PMHNP-BC/ RN
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 410 N PROSPECTORS RD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1258
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Country | US
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Telephone | 405-535-1782
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N PROSPECTORS RD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1258
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Country | US
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Telephone | 702-289-4157
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Fax | 702-289-4795
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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 | 1036055
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 840834
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License Number State | NV
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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 | 840834
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 814690
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95418013
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License Number State | CA
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