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NPI Code Detail

MEDICARE: CHRISTINA RUDOLPH

MEDICARE: CHRISTINA RUDOLPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1548199011
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA RUDOLPH
Provider Business Mailing Address
First Line : 1801 WATERMARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7088
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 5500 S MARGINAL RD STE 110
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1009
Country : US
Telephone Number : 216-221-7588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ CHRISTINA RUDOLPH ” Practice Location

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