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General NPI Number Information
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NPI Number | 1891519583
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Entity Type | Individual
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Provider Name | ISABEL ANITA JOHNSTON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 767 ISLINGTON ST STE 1C
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7206
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Country | US
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Telephone | 603-368-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 87 ATLANTIC AVE
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2308
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Country | US
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Telephone | 603-996-1333
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6985
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5604
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License Number State | NH
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