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General NPI Number Information
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NPI Number | 1184506081
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Entity Type | Individual
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Provider Name | STEPHANIE CHERIE PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 3041 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-3948
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Country | US
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Telephone | 702-829-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 OLIVIA PKWY
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City | HENDERSON
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State | NV
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Zip | 89011-0833
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Country | US
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Telephone | 661-993-1331
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A-0976
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License Number State | NV
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