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General NPI Number Information
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NPI Number | 1215445234
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Entity Type | Individual
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Provider Name | CHRISTINE ALESI ROUTH PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2900 WHIPPLE AVE STE 140
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City | REDWOOD CITY
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State | CA
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Zip | 94062-2844
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Country | US
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Telephone | 650-261-2366
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Fax | 650-261-2369
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Provider Business Mailing Address
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Address Line | 3400 DATA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA66558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6969
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License Number State | AZ
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