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General NPI Number Information
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NPI Number | 1770263873
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Entity Type | Organization
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Legal Business Name | ELEVATED PELVIC HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 05/05/2024
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Provider Practice Location Address
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Address Line | 501 S BERNARD ST STE 308
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City | SPOKANE
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State | WA
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Zip | 99204-2511
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Country | US
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Telephone | 509-508-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 W 14TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-4022
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Country | US
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Telephone | 801-608-6877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA MARIE NICE
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Credential | DPT
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Telephone | 509-508-1131
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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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