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General NPI Number Information
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NPI Number | 1184951717
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 1976 WOODDALE DRIVE
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City | WOODBURY
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State | MN
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Zip | 55125
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Country | US
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Telephone | 651-271-1512
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Fax | 651-436-2016
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Provider Business Mailing Address
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Address Line | 1976 WOODDALE DRIVE
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City | WOODBURY
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State | MN
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Zip | 55125
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Country | US
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Telephone | 651-271-1512
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Fax | 651-436-2016
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Authorized Official
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Title or Position | PT
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Name | HEATHER ENGELBERT
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Credential |
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Telephone | 651-271-1512
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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 | 2057
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License Number State | MN
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