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General NPI Number Information
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NPI Number | 1295269223
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Entity Type | Organization
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Legal Business Name | ABDOMINOPELVIC HEALTH, PLLC
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 121 S GARFIELD AVE STE A
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2967
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Country | US
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Telephone | 989-464-3417
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Fax |
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Provider Business Mailing Address
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Address Line | 621 SECOND ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2220
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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 | OCCUPATIONAL THERAPIST
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Name | MRS. ERIN MCLAIN GYSBERS
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Credential | MOT, OTR/L
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Telephone | 989-464-3417
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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 | 5201007914
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License Number State | MI
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