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General NPI Number Information
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NPI Number | 1386383792
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Entity Type | Individual
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Provider Name | DYLAN WILLIAM ZIEHME PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 5200 FAIRVIEW BLVD
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City | WYOMING
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State | MN
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Zip | 55092-8013
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Country | US
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Telephone | 920-344-2831
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Fax |
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Provider Business Mailing Address
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Address Line | 312 13TH AVE N
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City | SOUTH SAINT PAUL
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State | MN
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Zip | 55075-1937
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Country | US
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Telephone | 920-344-2831
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 12641
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 12641
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12641
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License Number State | MN
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