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General NPI Number Information
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NPI Number | 1265982771
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Entity Type | Individual
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Provider Name | DANIEL JOHNSON PT, DPT, PRPC
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Gender | Male
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 330 N MAIN ST STE 75
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City | KAYSVILLE
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State | UT
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Zip | 84037-1106
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Country | US
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Telephone | 801-204-9204
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Fax | 801-682-4853
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Provider Business Mailing Address
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Address Line | 330 N MAIN ST STE 75
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City | KAYSVILLE
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State | UT
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Zip | 84037-1106
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Country | US
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Telephone | 801-204-9204
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Fax | 801-682-4853
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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 | 6312
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11680864-2401
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License Number State | UT
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