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General NPI Number Information
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NPI Number | 1790485787
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Entity Type | Organization
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Legal Business Name | ASCEND PELVIC HEALTH, INC.
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 16935 W BERNARDO DR STE 140
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City | SAN DIEGO
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State | CA
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Zip | 92127-1664
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Country | US
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Telephone | 858-888-9676
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 CALLE PLATICO
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City | OCEANSIDE
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State | CA
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Zip | 92056-6914
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Country | US
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Telephone | 480-720-2465
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOLLY MULVANEY
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Credential | OTD
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Telephone | 480-720-2465
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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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