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General NPI Number Information
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NPI Number | 1356161004
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Entity Type | Organization
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Legal Business Name | THRIVE PELVIC HEALTH AND WELLNESS
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1554 UNION VALLEY RD
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City | WEST MILFORD
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State | NJ
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Zip | 07480-1357
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Country | US
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Telephone | 240-529-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 286 OAK RIDGE RD
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City | OAK RIDGE
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State | NJ
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Zip | 07438-8906
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Country | US
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Telephone | 240-529-6026
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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 | MICHAELA SCOTTEN SHUHNICKI
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Credential | OTR/L
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Telephone | 240-529-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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