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General NPI Number Information
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NPI Number | 1407727191
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Entity Type | Organization
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Legal Business Name | HEIGHTS PT PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 665 WOODRIDGE DR
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55118-1809
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Country | US
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Telephone | 612-237-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 665 WOODRIDGE DR
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55118-1809
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Country | US
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Telephone | 612-237-1072
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARY K FENLON
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Credential | DPT
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Telephone | 612-237-1072
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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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