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General NPI Number Information
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NPI Number | 1508432030
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Entity Type | Individual
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Provider Name | CHRISTOPHER GEORGE GARDHOUSE PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 11550 INDIAN HILLS RD STE 261
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City | MISSION HILLS
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State | CA
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Zip | 91345-1244
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Country | US
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Telephone | 818-361-0917
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Fax | 818-361-1606
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Provider Business Mailing Address
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Address Line | 11550 INDIAN HILLS RD STE 261
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City | MISSION HILLS
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State | CA
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Zip | 91345-1244
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Country | US
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Telephone | 818-361-0917
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Fax | 818-361-1606
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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 | 59889
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA59889
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 59889
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License Number State | CA
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