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General NPI Number Information
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NPI Number | 1316337793
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Entity Type | Organization
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Legal Business Name | SHER PELVIC HEALTH AND HEALING, LLC.
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 235 S MAITLAND AVE SUITE 214
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City | MAITLAND
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State | FL
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Zip | 32751-5677
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Country | US
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Telephone | 407-900-2876
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Fax | 321-348-5779
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Provider Business Mailing Address
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Address Line | 235 S MAITLAND AVE SUITE 214
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City | MAITLAND
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State | FL
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Zip | 32751-5677
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Country | US
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Telephone | 407-900-2876
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Fax | 321-348-5779
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Authorized Official
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Title or Position | OWNER / CLINICAL DIRECTOR
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Name | MS. TRACY SHER
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Credential | MPT, CSCS
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Telephone | 407-900-2876
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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 | 18944
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License Number State | FL
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