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General NPI Number Information
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NPI Number | 1750295564
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Entity Type | Organization
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Legal Business Name | JOHNSON PROSTHETICS & ORTHOTICS LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 6601 PHOENIX AVE STE A
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City | FORT SMITH
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State | AR
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Zip | 72903-5092
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Country | US
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Telephone | 479-222-9932
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Fax | 479-222-2278
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Provider Business Mailing Address
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Address Line | 1742 E JOYCE BLVD STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5260
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Country | US
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Telephone | 480-658-7811
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Fax |
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Authorized Official
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Title or Position | CPO
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Name | GREG JOHNSON
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Credential |
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Telephone | 479-485-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NULL
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