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NPI 1699652024

NPI 1699652024 : KIANA DAPREMONT : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1699652024
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    Entity Type          |    Individual 
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    Provider Name        |    KIANA DAPREMONT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/18/2025
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    7899 MISSION GROVE PKWY S STE A 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92508-5062
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    Country              |    US
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    Telephone            |    951-776-9223
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25296 MAROON CREEK CT 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92551-2429
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    Country              |    US
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    Telephone            |    951-400-9884
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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        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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