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General NPI Number Information
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NPI Number | 1245161678
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Entity Type | Organization
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Legal Business Name | CONNECTIONSPA MONTOGMERY, LLC
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 1205 S 7TH AVE STE 105
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City | PHOENIX
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State | AZ
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Zip | 85007-3913
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Country | US
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Telephone | 602-416-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W 8TH AVE
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1323
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Country | US
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Telephone | 717-408-1353
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Fax |
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Authorized Official
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Title or Position | DIRECTOR RCM
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Name | CHERYL BOYLE
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Credential |
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Telephone | 830-997-7367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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