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General NPI Number Information
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NPI Number | 1194319475
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Entity Type | Organization
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Legal Business Name | PELVIC HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 469 CENTERVILLE RD STE 101
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City | WARWICK
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State | RI
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Zip | 02886-4355
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Country | US
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Telephone | 401-320-7101
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Fax | 401-320-7208
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Provider Business Mailing Address
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Address Line | 23 SUNSET DR
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City | WEST KINGSTON
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State | RI
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Zip | 02892-1079
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Country | US
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Telephone | 401-265-6686
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Fax | 401-320-7208
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Authorized Official
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Title or Position | OWNER/PT
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Name | MELISSA S NASSANEY
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Credential | DPT
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Telephone | 401-320-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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