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General NPI Number Information
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NPI Number | 1326867185
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Entity Type | Organization
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Legal Business Name | THE HEALING PELVIS
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 5314 N FIGUEROA ST UNIT B
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City | LOS ANGELES
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State | CA
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Zip | 90042-4004
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Country | US
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Telephone | 323-736-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 5314 N FIGUEROA ST UNIT B
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City | LOS ANGELES
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State | CA
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Zip | 90042-4004
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Country | US
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Telephone | 323-736-1893
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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 | MS. MEGAN ROSE DOMINGUEZ
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Credential | OTR/L
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Telephone | 323-736-1893
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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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