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General NPI Number Information
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NPI Number | 1851051403
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Entity Type | Organization
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Legal Business Name | QUEEN CITY PELVIC HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 7745 5 MILE RD
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City | CINCINNATI
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State | OH
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Zip | 45230-2355
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Country | US
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Telephone | 513-238-0952
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Fax |
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Provider Business Mailing Address
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Address Line | 1068 PORTWAY DR
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City | CINCINNATI
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State | OH
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Zip | 45255-4477
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Country | US
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Telephone | 513-238-0952
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | RAKHI SRIVASTAVA
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Credential | MOT, OTR/L
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Telephone | 513-238-0952
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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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