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General NPI Number Information
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NPI Number | 1942920400
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Entity Type | Organization
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Legal Business Name | INTUITIVE WOMEN'S HEALTH, PLLC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 4830 AZ - 260 SUITE 102
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City | LAKESIDE
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State | AZ
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Zip | 85929
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Country | US
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Telephone | 928-243-2628
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 S HIGHLAND DR
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City | SNOWFLAKE
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State | AZ
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Zip | 85937-5561
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Country | US
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Telephone | 928-243-2628
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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 | MAKENZIE JORDAN VANWINKLE
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Credential | OTDR/L
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Telephone | 928-243-2628
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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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