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General NPI Number Information
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NPI Number | 1043883366
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Entity Type | Individual
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Provider Name | PAIGE JOHNSON CARE COORDINATOR
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 77 E WOODBURY DR #110
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City | DAYTON
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State | OH
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Zip | 45415-2853
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Country | US
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Telephone | 937-373-7848
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Fax |
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Provider Business Mailing Address
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Address Line | 7941 CASTLEWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1953
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Country | US
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Telephone | 317-726-2121
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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