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General NPI Number Information
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NPI Number | 1811034283
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Entity Type | Individual
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Provider Name | KENDRA ALYSSA AVANT ORTIZ ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 24885 WHITEWOOD RD STE 100
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City | MURRIETA
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State | CA
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Zip | 92563-2004
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Country | US
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Telephone | 442-207-7823
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Fax | 951-223-5092
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Provider Business Mailing Address
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Address Line | 14728 PLUMERIA CT STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93314-8522
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Country | US
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Telephone | 407-449-6793
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95024797
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License Number State | CA
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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 | AP4495
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License Number State | AZ
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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 | AP4495
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9194715
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License Number State | FL
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