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General NPI Number Information
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NPI Number | 1942109798
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Entity Type | Individual
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Provider Name | CHRISTIAN MEDINA
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Gender |
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 25285 MADISON AVE STE 103
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City | MURRIETA
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State | CA
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Zip | 92562-8955
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Country | US
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Telephone | 951-600-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 32356 CLEAR SPRINGS DR
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City | WINCHESTER
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State | CA
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Zip | 92596-8411
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CA
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