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General NPI Number Information
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NPI Number | 1407317811
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Entity Type | Organization
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Legal Business Name | PELVIC HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 3375 BURNS RD STE 108
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4360
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Country | US
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Telephone | 914-329-6966
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160145
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-0145
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Country | US
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Telephone | 914-329-6966
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | ANITA SHEPHERD
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Credential |
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Telephone | 720-425-1037
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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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