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General NPI Number Information
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NPI Number | 1871322909
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Entity Type | Individual
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Provider Name | ELLE G BRYANT DPT
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Gender | Female
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1686 LEXINGTON AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-6514
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Country | US
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Telephone | 877-609-0123
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Fax | 888-425-0398
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Provider Business Mailing Address
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Address Line | 3500 AMERICAN BLVD W STE 300
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City | BLOOMINGTON
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State | MN
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Zip | 55431-4442
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Country | US
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Telephone | 952-512-5600
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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 | LPT-033678
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13497
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License Number State | MN
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