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General NPI Number Information
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NPI Number | 1891401527
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Entity Type | Organization
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Legal Business Name | THRIVE INDY PELVIC HEALTH AND WELLNESS
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 8202 CLEARVISTA PKWY STE 8B
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1456
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Country | US
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Telephone | 317-676-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 4482 EAGLERIDGE LN
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City | ZIONSVILLE
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State | IN
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Zip | 46077-4613
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Country | US
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Telephone | 612-251-7619
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KATRINA MALHOTRA
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Credential | DPT
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Telephone | 317-676-0206
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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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