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General NPI Number Information
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NPI Number | 1457213373
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Entity Type | Individual
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Provider Name | BRENDAN MICHAEL ZIAKS DPT
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2 IVY BROOK RD STE 230
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City | SHELTON
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State | CT
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Zip | 06484-6416
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Country | US
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Telephone | 203-924-2853
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Fax |
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Provider Business Mailing Address
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Address Line | 67 SUGAR HILL RD
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City | NORTH HAVEN
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State | CT
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Zip | 06473-4041
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Country | US
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Telephone | 203-824-4585
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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 | 15191
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License Number State | CT
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