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General NPI Number Information
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NPI Number | 1053597625
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Entity Type | Individual
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Provider Name | SABRINA KIMBERLY-HOWELL JOHNSON PTA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 3187 WESTERN ROW RD SUITE 102
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City | MAINEVILLE
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State | OH
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Zip | 45039-8045
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Country | US
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Telephone | 513-459-8599
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Fax | 513-459-8746
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Provider Business Mailing Address
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Address Line | 3187 WESTERN ROW RD SUITE 102
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City | MAINEVILLE
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State | OH
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Zip | 45039-8045
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Country | US
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Telephone | 513-459-8599
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Fax | 513-459-8746
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 05408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA05408
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License Number State | OH
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