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General NPI Number Information
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NPI Number | 1245912922
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Entity Type | Individual
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Provider Name | ASPEN JOHNSON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 483 W SEED FARM RD
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City | SACATON
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State | AZ
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Zip | 85147-5000
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Country | US
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Telephone | 520-562-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 5242 N 7TH AVE APT A
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City | PHOENIX
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State | AZ
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Zip | 85013-1976
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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 |
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License Number State |
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