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General NPI Number Information
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NPI Number | 1427901099
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Entity Type | Organization
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Legal Business Name | KAROLINE JOHNSON, OCCUPATIONAL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 7302 HIGHWAY 613 STE D
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City | MOSS POINT
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State | MS
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Zip | 39563-9432
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Country | US
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Telephone | 228-990-2476
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Fax | 228-460-5120
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Provider Business Mailing Address
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Address Line | 16425 HIGHWAY 57
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City | VANCLEAVE
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State | MS
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Zip | 39565-9845
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Country | US
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Telephone | 228-990-2476
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Fax | 228-460-5120
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | KAROLINE JOHNSON
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Credential | OTR/L
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Telephone | 228-990-2476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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