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General NPI Number Information
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NPI Number | 1578832697
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Entity Type | Individual
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Provider Name | CHRISTINA MONROY-CARDENAS PAC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 247 MARCH ST
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City | SANTA PAULA
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State | CA
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Zip | 93060-2511
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Country | US
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Telephone | 805-933-6622
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Fax | 805-933-6629
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Provider Business Mailing Address
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Address Line | 3400 DATA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 21889
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License Number State | CA
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