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General NPI Number Information
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NPI Number | 1437239696
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Entity Type | Individual
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Provider Name | CRAIG ALEXANDER JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 75 E 600 S
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City | BRIGHAM CITY
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State | UT
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Zip | 84302-3227
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Country | US
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Telephone | 435-734-2095
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Fax |
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Provider Business Mailing Address
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Address Line | 75 E 600 S
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City | BRIGHAM CITY
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State | UT
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Zip | 84302-3227
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Country | US
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Telephone | 435-734-2095
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2006025892
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7814003-1202
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License Number State | UT
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