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General NPI Number Information
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NPI Number | 1538048285
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Entity Type | Individual
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Provider Name | MARY JANET RIEHM PT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 927 CHURCHILL ST W
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City | STILLWATER
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State | MN
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Zip | 55082-6605
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Country | US
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Telephone | 651-439-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 DRIVING PARK RD
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City | STILLWATER
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State | MN
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Zip | 55082-3719
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Country | US
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Telephone | 763-228-8560
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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 | 2616
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License Number State | MN
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