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General NPI Number Information
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NPI Number | 1528988326
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Entity Type | Individual
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Provider Name | CHRISTOPHER TREVINO
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Gender |
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 25634 ALESSANDRO BLVD
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4916
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Country | US
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Telephone | 951-571-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 15884 MARIPOSA DR
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City | FONTANA
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State | CA
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Zip | 92336-5012
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Country | US
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Telephone | 909-519-8686
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 36408
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License Number State | CA
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