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Individual
DR. SANDRA M FAKULT
Active
Individual
DR. SANDRA M FAKULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-069995
OH
208D00000X
General Practice Physician
MD464316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100032
—
OH
Enumeration date
06/11/2006
Last updated
05/05/2026
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