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General NPI Number Information
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NPI Number | 1104792118
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Entity Type | Individual
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Provider Name | RAEMELL CHERROD JOHNSON LMT
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Gender | Male
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 989 KENMORE AVE
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City | KENMORE
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State | NY
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Zip | 14217-2924
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Country | US
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Telephone | 716-335-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 147 DEERFIELD AVE
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City | BUFFALO
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State | NY
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Zip | 14215-3024
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Country | US
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Telephone | 716-482-2028
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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 | 034052
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License Number State | NY
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