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General NPI Number Information
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NPI Number | 1225920796
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Entity Type | Individual
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Provider Name | CHRISTINE CECIL PNP-C, RCSN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1530 W 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92706-3398
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Country | US
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Telephone | 714-564-6219
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Fax | 714-564-6219
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Provider Business Mailing Address
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Address Line | 3825 BAKER ST
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City | SAN DIEGO
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State | CA
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Zip | 92117-5706
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Country | US
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Telephone | 619-317-8181
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95256460
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 95256460
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 562852
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95034626
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 210244135
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License Number State | CA
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