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General NPI Number Information
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NPI Number | 1881688570
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Entity Type | Individual
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Provider Name | KIMBERLY ANN JOHNSON DC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 2210 OMRO RD STE A
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City | OSKOSH
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State | WI
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Zip | 54904-7746
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Country | US
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Telephone | 920-426-4200
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Fax | 920-426-3730
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Provider Business Mailing Address
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Address Line | 2210 OMRO RD STE A
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City | OSKOSH
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State | WI
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Zip | 54904-7746
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Country | US
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Telephone | 920-426-4200
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Fax | 920-426-3730
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | WI2589
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License Number State | WI
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