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General NPI Number Information
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NPI Number | 1568789568
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Entity Type | Organization
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Legal Business Name | HEATHER S. LEVENTHAL MPT, PLLC
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 9375 E BELL RD STE 107
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1541
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Country | US
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Telephone | 480-513-3839
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Fax | 480-513-3117
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Provider Business Mailing Address
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Address Line | 9375 E BELL RD STE 107
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1541
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Country | US
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Telephone | 480-513-3839
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Fax | 480-513-3117
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. HEATHER SPLAINE LEVENTHAL
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Credential | MPT
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Telephone | 480-513-3839
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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 | 8712
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License Number State | AZ
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