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General NPI Number Information
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NPI Number | 1871290510
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Entity Type | Organization
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Legal Business Name | JOHNSONS THERAPY GROUP LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 2268 ROSS RD
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-9406
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Country | US
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Telephone | 662-808-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 2268 ROSS RD
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-9406
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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 | OWNER/THERAPIST
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Name | HOLLY JOHNSON
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Credential |
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Telephone | 662-808-2680
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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 |
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License Number State |
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