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General NPI Number Information
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NPI Number | 1669626305
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Entity Type | Individual
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Provider Name | SANDRA MUSIC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 3806 CLAYTON RD 200
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City | CONCORD
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State | CA
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Zip | 94521-2516
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Country | US
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Telephone | 510-795-4294
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Fax |
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Provider Business Mailing Address
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Address Line | 39453 VAN DYKE AVE APT 106
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4656
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501012951
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License Number State | MI
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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 | PT00010281
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17978
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305205402
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10064
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 35037
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License Number State | CA
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