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General NPI Number Information
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NPI Number | 1275454688
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Entity Type | Organization
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Legal Business Name | PHENIX THERAPIES, LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 77 3RD ST
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City | MONUMENT
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State | CO
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Zip | 80132-8179
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Country | US
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Telephone | 719-344-9497
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Fax | 719-358-6042
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Provider Business Mailing Address
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Address Line | 77 3RD ST
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City | MONUMENT
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State | CO
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Zip | 80132-8179
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | SHENTELL GUY
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Credential |
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Telephone | 781-674-6129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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