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General NPI Number Information
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NPI Number | 1275201519
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Entity Type | Individual
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Provider Name | HANNAH NOELLE JOHNSON OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 302 MEDICAL PKWY
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City | LAKEWAY
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State | TX
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Zip | 78738-5632
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Country | US
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Telephone | 512-501-3488
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 N FM 620 RD APT 2237
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City | AUSTIN
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State | TX
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Zip | 78726-3566
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Country | US
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Telephone | 757-493-1123
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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 | 121998
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License Number State | TX
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