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General NPI Number Information
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NPI Number | 1851377568
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Entity Type | Individual
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Provider Name | LAURIE G. JOHNSON P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 3100 TIMMONS LN STE 120
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City | HOUSTON
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State | TX
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Zip | 77027-5925
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Country | US
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Telephone | 713-621-2486
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Fax | 713-621-2491
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Provider Business Mailing Address
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Address Line | 2030 MASTERS LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4425
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Country | US
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Telephone | 713-539-7499
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Fax | 713-621-2491
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1088946
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License Number State | TX
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