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General NPI Number Information
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NPI Number | 1073829685
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Entity Type | Individual
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Provider Name | CHRISTINA PANTAZOPOULOS DO
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 25351 RAILROAD CANYON RD STE 103
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-2701
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Country | US
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Telephone | 951-394-6588
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Fax | 951-346-3790
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Provider Business Mailing Address
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Address Line | 25351 RAILROAD CANYON RD STE 103
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-2701
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Country | US
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Telephone | 951-394-6588
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Fax | 951-346-3790
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | T8911
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A11260
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License Number State | CA
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