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General NPI Number Information
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NPI Number | 1750403267
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Entity Type | Organization
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Legal Business Name | PELVIC HEALTH SOLUTIONS
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 594 DANCING CREEK RD
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City | MONROE
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State | VA
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Zip | 24574-3057
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Country | US
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Telephone | 434-944-1977
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Fax |
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Provider Business Mailing Address
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Address Line | 594 DANCING CREEK RD
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City | MONROE
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State | VA
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Zip | 24574-3057
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Country | US
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Telephone | 434-944-1977
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MS. JENNIFER KAYE LLOYD-FITZGERALD
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Credential | C-FNP
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Telephone | 434-944-1977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0024165257
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License Number State | VA
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