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General NPI Number Information
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NPI Number | 1265205264
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Entity Type | Organization
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Legal Business Name | HOLISTIC PELVIC HEALTH AND WELLNESS
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2000 VALLEY FORGE CIR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-4526
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Country | US
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Telephone | 610-639-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 205 CHASTAIN DR
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City | HONEY BROOK
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State | PA
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Zip | 19344-1600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANNON KALBACH
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Credential |
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Telephone | 610-639-6096
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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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