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General NPI Number Information
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NPI Number | 1437802642
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Entity Type | Individual
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Provider Name | ADRYANNA JOHNSON LMT
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1159 S FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7066
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Country | US
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Telephone | 954-946-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 HIGHLAND CT
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-3906
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Country | US
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Telephone | 954-471-0102
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA98490
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License Number State | FL
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