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General NPI Number Information
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NPI Number | 1487503199
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Entity Type | Individual
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Provider Name | REECE ELIZABETH JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 6590 TRYON RD
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City | CARY
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State | NC
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Zip | 27518-7052
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Country | US
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Telephone | 919-851-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 105 ACORN RIDGE LN
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7337
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Country | US
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Telephone | 309-826-2567
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 30004805
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License Number State | NC
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