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General NPI Number Information
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NPI Number | 1831028083
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Entity Type | Individual
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Provider Name | DYLAN NORBERTO RODRIGUEZ PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1188 W SPORTSPLEX DR STE 101
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City | KAYSVILLE
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State | UT
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Zip | 84037-6816
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Country | US
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Telephone | 801-547-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W 300 S
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City | WILLARD
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State | UT
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Zip | 84340-9793
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Country | US
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Telephone | 435-230-5974
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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 | 14287601-2401
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License Number State | UT
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