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General NPI Number Information
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NPI Number | 1306342134
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Entity Type | Individual
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Provider Name | SARAH LYNNE JOHNSON OT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 1010 E 10TH ST
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City | TUCSON
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State | AZ
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Zip | 85719-5813
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Country | US
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Telephone | 571-252-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W RIVER RD UNIT 26
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City | TUCSON
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State | AZ
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Zip | 85704-2524
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Country | US
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Telephone | 571-420-8198
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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 | OTH-008546
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License Number State | AZ
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