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General NPI Number Information
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NPI Number | 1639890379
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Entity Type | Individual
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Provider Name | KYLE ANTHONY DURRANT DNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 17500 SE 392ND ST
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City | AUBURN
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State | WA
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Zip | 98092-9705
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Country | US
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Telephone | 253-939-6648
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Fax | 253-735-6705
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Provider Business Mailing Address
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Address Line | PO BOX 222
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City | SOUTH PRAIRIE
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State | WA
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Zip | 98385-0222
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Country | US
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Telephone | 360-550-0296
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 763472
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 350570
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70019905
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License Number State | WA
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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 | 95268322
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License Number State | CA
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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 | RN61089850
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License Number State | WA
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