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General NPI Number Information
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NPI Number | 1619827847
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Entity Type | Organization
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Legal Business Name | JOHNSON VOCATIONAL REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 5207 LINCOLNSHIRE CT
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City | DALLAS
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State | TX
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Zip | 75287-5429
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Country | US
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Telephone | 214-537-4039
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Fax | 972-380-5916
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Provider Business Mailing Address
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Address Line | 5207 LINCOLNSHIRE CT
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City | DALLAS
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State | TX
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Zip | 75287-5429
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Country | US
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Telephone | 214-537-4039
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Fax | 972-380-5916
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Authorized Official
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Title or Position | MANAGER
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Name | KENNETH RAY JOHNSON
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Credential | JOHNSON
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Telephone | 214-537-4039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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