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General NPI Number Information
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NPI Number | 1578776464
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Entity Type | Individual
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Provider Name | SANDRA DOEHR OTR, CHT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 770 WASHINGTON ST STE 207
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City | SAN DIEGO
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State | CA
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Zip | 92103-2209
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Country | US
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Telephone | 619-299-5000
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Fax | 619-299-1549
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Provider Business Mailing Address
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Address Line | 1804 MCKEE ST UNIT B4
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City | SAN DIEGO
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State | CA
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Zip | 92110-1966
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Country | US
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Telephone | 619-491-0569
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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 | 792
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License Number State | CA
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