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General NPI Number Information
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NPI Number | 1770396764
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Entity Type | Organization
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Legal Business Name | DOWN SOUTH HOLISTIC PELVIC HEALTH & WELLNESS
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 630 22ND ST
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City | BEAUMONT
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State | TX
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Zip | 77706-4916
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Country | US
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Telephone | 651-895-5910
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Fax |
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Provider Business Mailing Address
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Address Line | JESSICA@DOWNSOUTHPELVICWELLNESS.COM 630 22ND ST
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City | BEAUMONT
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State | TX
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Zip | 77706-4916
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Country | US
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Telephone | 651-895-5910
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | JESSICA SUE DOBSON
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Credential | OTR/L
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Telephone | 651-895-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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