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General NPI Number Information
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NPI Number | 1215264387
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Entity Type | Individual
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Provider Name | ROSE ANGELA BUECHLER OTR/CHT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 619 HUDIS STREET
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City | ROHNERT PARK
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State | CA
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Zip | 94928
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Country | US
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Telephone | 707-584-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 619 HUDIS STREET
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City | ROHNERT PARK
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State | CA
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Zip | 94928
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Country | US
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Telephone | 707-584-0788
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 6222
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License Number State | CA
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