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General NPI Number Information
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NPI Number | 1548440233
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Entity Type | Individual
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Provider Name | ALEXIA LEIN JOHNSON RRT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 2160 FRANCES ST
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City | CASPER
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State | WY
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Zip | 82601-5664
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Country | US
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Telephone | 307-277-2869
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Fax |
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Provider Business Mailing Address
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Address Line | 320 HAZEL ST
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City | MONETT
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State | MO
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Zip | 65708-2744
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Country | US
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Telephone | 307-277-2869
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 313
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License Number State | WY
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