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General NPI Number Information
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NPI Number | 1467135939
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Entity Type | Individual
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Provider Name | TAYLOR ELISE JOHNSON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3500 VILLA PT STE 110
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City | OWENSBORO
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State | KY
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Zip | 42303-7826
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Country | US
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Telephone | 270-691-0059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | HARTFORD
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State | KY
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Zip | 42347-0148
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Country | US
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Telephone | 270-504-1910
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Fax | 270-298-3824
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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