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General NPI Number Information
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NPI Number | 1659607679
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Entity Type | Individual
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Provider Name | LAURIE ANNE JOHNSON OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 620 CHEROKEE STREET SUITE 200
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City | MARIETTA
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State | GA
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Zip | 30060
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Country | US
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Telephone | 770-795-7979
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Fax | 865-932-1374
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Provider Business Mailing Address
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Address Line | 2061 PEACHTREE RD, NE SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30309-1446
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Country | US
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Telephone | 404-352-3522
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Fax | 865-932-1374
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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 | 4117
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License Number State | TN
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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 | 006251
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License Number State | GA
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