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General NPI Number Information
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NPI Number | 1851502736
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Entity Type | Individual
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Provider Name | DOROTHY J CULBERTSON REHAB SPEC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1120 S DORA ST
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City | UKIAH
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State | CA
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Zip | 95482-6340
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Country | US
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Telephone | 707-456-3861
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Fax |
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Provider Business Mailing Address
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Address Line | 145 LAWS AVE APARTMENT 20
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City | UKIAH
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State | CA
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Zip | 95482-6626
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Country | US
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Telephone | 707-533-3670
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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