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General NPI Number Information
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NPI Number | 1679437982
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PELVIC HEALTH LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 864-404-6987
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Fax |
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Provider Business Mailing Address
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Address Line | 909 STANDING SPRINGS RD
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City | GREENVILLE
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State | SC
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Zip | 29605-5924
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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 | AMANDA NICOLE SHORTER
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Credential | OTR/L
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Telephone | 864-404-6987
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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 |
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License Number State |
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