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General NPI Number Information
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NPI Number | 1972102572
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Entity Type | Organization
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Legal Business Name | INSPIRE WELLNESS AND PELVIC HEALTH
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 5940 W UNION HILLS DR STE D280
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 602-529-1738
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Fax | 602-581-7134
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Provider Business Mailing Address
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Address Line | 5940 W UNION HILLS DR STE D280
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 602-529-1738
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Fax | 602-581-7134
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | FOLI RIEGLE
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Credential | OTR/L
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Telephone | 740-707-2658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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