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General NPI Number Information
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NPI Number | 1063189942
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Entity Type | Individual
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Provider Name | JASMINE JOHNSON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1240 EAGLES LANDING PKWY STE 340
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5106
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Country | US
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Telephone | 678-216-1838
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Fax | 678-216-1839
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Provider Business Mailing Address
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Address Line | 3100 INTERSTATE NORTH CIR SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-2296
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Country | US
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Telephone | 770-953-6929
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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 | PT015563
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License Number State | GA
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