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General NPI Number Information
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NPI Number | 1154759108
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Entity Type | Individual
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Provider Name | ERIKA JOHNSON MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 40131 HIGHWAY 49
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City | OAKHURST
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State | CA
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Zip | 93644-9560
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Country | US
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Telephone | 559-683-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 CHARLEVOIX DR SE SUITE 200
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7085
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Country | US
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Telephone | 616-975-5092
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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 | 13646
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License Number State | CA
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