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General NPI Number Information
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NPI Number | 1841704582
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Entity Type | Individual
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Provider Name | ROBERTA JEAN JOHNSON LMT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 15200 E GIRARD AVE STE 3100
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City | AURORA
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State | CO
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Zip | 80014-5002
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Country | US
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Telephone | 720-218-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 19593 E 60TH PL
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City | AURORA
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State | CO
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Zip | 80019-2185
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0012621
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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