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General NPI Number Information
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NPI Number | 1346928751
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Entity Type | Individual
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Provider Name | VICTORIA JO JOHNSON OD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 11 SHRINER ST
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City | VERMILLION
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State | SD
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Zip | 57069-1155
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Country | US
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Telephone | 605-624-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 ARNOLD PALMER LN
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City | ELK POINT
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State | SD
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Zip | 57025-2313
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Country | US
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Telephone | 605-670-0578
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 130794
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT003533
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3966
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 823
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License Number State | SD
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