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General NPI Number Information
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NPI Number | 1891235040
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Entity Type | Individual
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Provider Name | CHRISTIE MARTHA RIOS
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 133 N SUNOL DR STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90063-1429
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Country | US
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Telephone | 323-768-2515
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Fax |
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Provider Business Mailing Address
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Address Line | 17707 STUDEBAKER RD
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City | CERRITOS
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State | CA
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Zip | 90703-2640
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Country | US
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Telephone | 562-467-0209
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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