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General NPI Number Information
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NPI Number | 1154010676
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Entity Type | Individual
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Provider Name | CHRISTINA TAMONDONG PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 1770 W LA HABRA BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-5130
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Country | US
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Telephone | 714-773-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 21086 QUESTA VERDE
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City | LAKE FOREST
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State | CA
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Zip | 92630-7011
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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