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General NPI Number Information
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NPI Number | 1184998445
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Entity Type | Individual
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Provider Name | CHRISTI JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 1400 OATMAN ST
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City | LLANO
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State | TX
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Zip | 78643-2734
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Country | US
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Telephone | 325-248-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 FORD ST
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City | LLANO
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State | TX
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Zip | 78643-2611
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16170
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License Number State | TX
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