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General NPI Number Information
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NPI Number | 1326332081
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Entity Type | Individual
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Provider Name | STEPHANIE R JOHNSON AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2011
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 21803 N SCOTTSDALE RD STE 125B
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7445
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Country | US
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Telephone | 480-515-0200
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Fax | 480-515-0207
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Provider Business Mailing Address
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Address Line | 9777 N 91ST ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5087
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Country | US
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Telephone | 480-451-0220
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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