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General NPI Number Information
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NPI Number | 1700226289
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Entity Type | Individual
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Provider Name | NATHAN KYLE TURNER PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 9500 ETIWANDA AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9662
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Country | US
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Telephone | 909-463-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 E HIGHLAND AVE
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City | PATTON
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State | CA
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Zip | 92369-7813
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Country | US
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Telephone | 909-243-9785
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 28114
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY28114
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License Number State | CA
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