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General NPI Number Information
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NPI Number | 1306103833
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Entity Type | Individual
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Provider Name | KRISTINE CACHOLA PADILLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2012
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 13652 CANTARA ST BLDG. 2, DEPT. 156
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-2233
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Fax | 877-515-9014
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Provider Business Mailing Address
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Address Line | 13652 CANTARA ST BLDG. 2, DEPT. 156
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-2233
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Fax | 877-515-9014
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A129935
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License Number State | CA
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