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NPI 1639083785

NPI 1639083785 : JULIANNA K JOHNSON SLP : SUMMIT, MS

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General NPI Number Information
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    NPI Number           |    1639083785
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    Entity Type          |    Individual 
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    Provider Name        |    JULIANNA K JOHNSON SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2026
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    Last Update Date     |    09/28/2026
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Provider Practice Location Address
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    Address Line         |    4109 HIGHWAY 98 W 
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    City                 |    SUMMIT
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    State                |    MS
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    Zip                  |    39666-9132
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    Country              |    US
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    Telephone            |    601-276-3900
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    Fax                  |    601-348-5173
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Provider Business Mailing Address
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    Address Line         |    42465 HIGHWAY 195 
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    City                 |    HALEYVILLE
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    State                |    AL
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    Zip                  |    35565-7052
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    Country              |    US
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    Telephone            |    256-350-1764
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    Fax                  |    256-274-0234
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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       |    
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    License Number State |    NULL
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