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General NPI Number Information
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NPI Number | 1881518967
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Entity Type | Organization
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Legal Business Name | THE EMPOWERED PELVIC SANCTUARY LLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 191 S MAIN ST UNIT 8
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City | BREWER
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State | ME
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Zip | 04412-2307
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Country | US
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Telephone | 847-219-6278
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Fax |
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Provider Business Mailing Address
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Address Line | 117 PIRATES COVE RD
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City | STOCKTON SPRINGS
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State | ME
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Zip | 04981-4159
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Country | US
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Telephone | 847-219-6278
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DR. ZENOBIA ZUBIN TANTRA
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Credential | DPT
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Telephone | 847-219-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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