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General NPI Number Information
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NPI Number | 1083949713
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Entity Type | Individual
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Provider Name | FRANCIS JOHNSON III L.P.T.A
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Gender | Male
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 1199 OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3421
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Country | US
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Telephone | 875-936-3228
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Fax |
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Provider Business Mailing Address
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Address Line | 3518 SHERLAWN DR # A
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City | MOSS POINT
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State | MS
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Zip | 39563-3839
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Country | US
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Telephone | 337-513-1046
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 3352
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License Number State | LA
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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 | 6207
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License Number State | MS
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