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General NPI Number Information
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NPI Number | 1093620544
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PELVIC HEALTH LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 540 LAFAYETTE RD UNIT 101
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City | HAMPTON
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State | NH
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Zip | 03842-3344
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Country | US
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Telephone | 207-977-6026
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Fax | 603-550-5014
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Provider Business Mailing Address
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Address Line | 540 LAFAYETTE RD UNIT 101
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City | HAMPTON
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State | NH
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Zip | 03842-3344
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Country | US
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Telephone | 207-977-6026
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Fax | 603-550-5014
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | ASHTON FREY
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Credential | MOT OTR/L
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Telephone | 207-977-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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