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General NPI Number Information
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NPI Number | 1316166721
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Entity Type | Individual
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Provider Name | MICHELE M DYOGI P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2655 CORDES DR STE 110
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City | SUGAR LAND
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State | TX
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Zip | 77479-1461
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Country | US
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Telephone | 214-970-6817
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Fax |
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Provider Business Mailing Address
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Address Line | 2637 N 400 E # 164
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2240
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Country | US
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Telephone | 214-970-6817
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1173599
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License Number State | TX
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