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General NPI Number Information
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NPI Number | 1245963222
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Entity Type | Individual
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Provider Name | CHRISTINA GRUNDGEIGER RN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 1600 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2814
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Country | US
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Telephone | 661-949-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5061 E AVENUE R4
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City | PALMDALE
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State | CA
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Zip | 93552-3828
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Country | US
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Telephone | 310-384-1528
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 708111
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License Number State | CA
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