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General NPI Number Information
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NPI Number | 1396909867
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Entity Type | Individual
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Provider Name | SANDRA B BUCHHEISTER DPT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 145 G ST STE E
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City | ARCATA
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State | CA
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Zip | 95521-6694
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Country | US
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Telephone | 707-702-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 SAGEWOOD WAY
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-3683
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Country | US
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Telephone | 707-702-2241
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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 | 43586
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305205479
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License Number State | VA
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