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General NPI Number Information
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NPI Number | 1700766433
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Entity Type | Individual
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Provider Name | CHRISTIANA MAIELLA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 200 OCEANGATE STE 200
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 888-562-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 3933 JEWELL ST APT B3
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City | SAN DIEGO
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State | CA
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Zip | 92109-6082
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Country | US
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Telephone | 508-523-5934
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95034665
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License Number State | CA
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