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General NPI Number Information
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NPI Number | 1699597039
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Entity Type | Organization
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Legal Business Name | THRIVING PELVIC HEALTH LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2519 S SHIELDS ST STE 1K639
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City | FORT COLLINS
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State | CO
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Zip | 80526-1855
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Country | US
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Telephone | 937-430-6993
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 S SHIELDS ST STE 1K639
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City | FORT COLLINS
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State | CO
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Zip | 80526-1855
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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 | OWNER
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Name | JOHANNA SCHMITZ
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Credential | OTR/L
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Telephone | 970-430-6993
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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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