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General NPI Number Information
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NPI Number | 1043029705
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Entity Type | Organization
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Legal Business Name | AMITY PELVIC HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1326 SIDNEYS RD
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City | WALTERBORO
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State | SC
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Zip | 29488-6772
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Country | US
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Telephone | 717-881-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 SIDNEYS RD
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City | WALTERBORO
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State | SC
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Zip | 29488-6772
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Country | US
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Telephone | 717-881-0009
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. MEGAN FIX
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Credential | OTD, OTR/L
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Telephone | 717-881-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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