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General NPI Number Information
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NPI Number | 1528317476
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Entity Type | Individual
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Provider Name | MARGARET JEANNE JOHNSON MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 2023 COLFAX STREET
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City | SCHUYLER
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State | NE
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Zip | 68661
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Country | US
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Telephone | 402-352-3977
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Fax |
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Provider Business Mailing Address
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Address Line | 710 S 201ST AVE
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City | ELKHORN
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State | NE
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Zip | 68022-1870
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Country | US
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Telephone | 402-210-8835
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 901031
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License Number State | NE
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