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General NPI Number Information
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NPI Number | 1346828423
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Entity Type | Individual
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Provider Name | DELANEY LYNN JOHNSON MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1108 GRAND AVE
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City | JOHNSTON CITY
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State | IL
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Zip | 62951-1229
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Country | US
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Telephone | 618-983-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 12084 HARMONY CHURCH RD
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-7008
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Country | US
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Telephone | 618-579-6571
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146.015727
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License Number State | IL
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