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General NPI Number Information
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NPI Number | 1285495028
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Entity Type | Individual
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Provider Name | CHRISTINA MISHREKI DC, CCSP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 300A E 4TH ST UNIT 125
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City | LONG BEACH
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State | CA
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Zip | 90802-0416
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Country | US
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Telephone | 714-319-3667
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Fax |
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Provider Business Mailing Address
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Address Line | 2905 N SEPULVEDA BLVD
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2736
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 36566
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License Number State | CA
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