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General NPI Number Information
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NPI Number | 1750210738
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Entity Type | Individual
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Provider Name | ELIZABETH ANN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 415 ANTIQUE CITY DR
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City | WALNUT
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State | IA
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Zip | 51577-2002
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Country | US
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Telephone | 712-254-2072
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Fax |
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Provider Business Mailing Address
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Address Line | 2229 200TH ST
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City | MARNE
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State | IA
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Zip | 51552-2002
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Country | US
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Telephone | 712-254-2072
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Fax |
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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 | 088162
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License Number State | IA
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