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General NPI Number Information
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NPI Number | 1114506516
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Entity Type | Organization
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Legal Business Name | WOMENS INTEGRATIVE HEALING
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 5218 RIVER PARK VILLAS DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-1402
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Country | US
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Telephone | 256-364-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 5218 RIVER PARK VILLAS DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-1402
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Country | US
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Telephone | 256-364-9098
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Fax |
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Authorized Official
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Title or Position | ONWER, THERAPIST
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Name | KELLY ARMSTRONG
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Credential | OTR/L
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Telephone | 256-364-9098
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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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