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General NPI Number Information
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NPI Number | 1952432080
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Entity Type | Individual
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Provider Name | KENARD DURR
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6931 VAN NUYS BLVD 2ND FLOOR
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City | VAN NUYS
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State | CA
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Zip | 91405-3937
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Country | US
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Telephone | 818-901-6376
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Fax | 818-901-6056
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Provider Business Mailing Address
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Address Line | 18953 GAULT ST #3
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City | RESEDA
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State | CA
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Zip | 91335-3949
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Country | US
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Telephone | 818-613-1623
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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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