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General NPI Number Information
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NPI Number | 1083734321
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Entity Type | Individual
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Provider Name | DAVID L JOHNSON OT
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 2241B N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-961-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 3899 NW 7TH ST STE 208
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City | MIAMI
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State | FL
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Zip | 33126-5551
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Country | US
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Telephone | 305-644-4181
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9832
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License Number State | FL
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