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General NPI Number Information
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NPI Number | 1821271347
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Entity Type | Individual
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Provider Name | HEATHER ROURKE- SCHLUETER PT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 1 BLACKFIELD DR
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City | TIBURON
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State | CA
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Zip | 94920-2053
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Country | US
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Telephone | 415-342-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 5 UNDERHILL RD
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City | MILL VALLEY
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State | CA
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Zip | 94941-1423
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Country | US
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Telephone | 415-342-1430
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 10822
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License Number State | CA
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