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General NPI Number Information
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NPI Number | 1093633836
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Entity Type | Individual
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Provider Name | ADRIANNA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 213 W MAIN ST
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City | PIPESTONE
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State | MN
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Zip | 56164-1633
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Country | US
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Telephone | 605-850-3581
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Fax |
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Provider Business Mailing Address
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Address Line | 48648 240TH ST
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City | JASPER
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State | MN
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Zip | 56144-1061
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Country | US
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Telephone |
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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 | 14385
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License Number State | MN
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