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General NPI Number Information
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NPI Number | 1508722091
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Entity Type | Individual
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Provider Name | MEERA VERMA BUCKLIN DPT
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 403 W ADAMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90007-2664
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Country | US
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Telephone | 213-460-4311
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 ROSS RD
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City | PALO ALTO
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State | CA
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Zip | 94303-4412
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Country | US
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Telephone | 650-833-9568
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 306494
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License Number State | CA
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