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General NPI Number Information
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NPI Number | 1720877228
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Entity Type | Organization
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Legal Business Name | CHRISTIAN MEDICAL, LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 217 W MAIN ST STE 110
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5648
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Country | US
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Telephone | 214-971-2267
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Fax |
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Provider Business Mailing Address
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Address Line | 217 W MAIN ST STE 110
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5648
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Country | US
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Telephone | 214-971-2267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ESPIRIDION MENDEZ
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Credential | DO
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Telephone | 214-971-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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