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General NPI Number Information
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NPI Number | 1851984058
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Entity Type | Individual
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Provider Name | MISS CHRISTA COPELAND JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 9815 GRANT RD
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City | HOUSTON
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State | TX
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Zip | 77070-4501
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Country | US
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Telephone | 713-203-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 13431 MISSARAH LN
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City | CYPRESS
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State | TX
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Zip | 77429-5312
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Country | US
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Telephone | 713-203-1200
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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 | 17556
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License Number State | TX
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