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General NPI Number Information
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NPI Number | 1902280233
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH ZIEMAN DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 23551 MOULTON PKWY
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1911
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Country | US
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Telephone | 949-309-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 33 LEGACY WAY
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5565
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Country | US
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Telephone | 562-879-4731
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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 | 42402
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License Number State | CA
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