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General NPI Number Information
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NPI Number | 1740575521
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Entity Type | Individual
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Provider Name | CAROL MANIACI JOHNSON AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 711 E ALTAMONTE DR SUITE 200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4806
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Country | US
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Telephone | 407-303-5466
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Fax | 407-303-5467
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Provider Business Mailing Address
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Address Line | 711 E ALTAMONTE DR SUITE 200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4806
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Country | US
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Telephone | 407-303-5466
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Fax | 407-303-5467
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1043
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License Number State | FL
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