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General NPI Number Information
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NPI Number | 1457473068
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Entity Type | Individual
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Provider Name | SACHA H GUTIERREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3613 HIGHWAY 153
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City | POWDERSVILLE
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State | SC
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Zip | 29611-7516
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Country | US
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Telephone | 864-307-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 336 SUNNYBROOK LN
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City | GREER
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State | SC
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Zip | 29650-4671
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 91254
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | D61881
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License Number State | MD
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