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Individual
RODNEY BUCHANAN
Active
Individual
RODNEY BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 15886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200811901
ACS PROVIDER NUMBER
CA
01
—
954718855
BLUE CROSS PROVIDER
CA
01
—
ZZZ47212Z
BLUE SHIELD PROVIDER
CA
Enumeration date
01/29/2007
Last updated
06/24/2020
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