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General NPI Number Information
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NPI Number | 1619144813
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Entity Type | Individual
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Provider Name | HEATHER ELIZABETH JOHNSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 9898 SCOTTISH GLEN CT
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City | LAS VEGAS
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State | NV
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Zip | 89178
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Country | US
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Telephone | 702-241-5568
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Fax | 877-214-5160
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Provider Business Mailing Address
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Address Line | 9898 SCOTTISH GLEN CT
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City | LAS VEGAS
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State | NV
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Zip | 89178-3854
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Country | US
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Telephone | 702-241-5568
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Fax | 877-214-5160
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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 | 6577
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5961
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 15-0598
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License Number State | NV
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