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General NPI Number Information
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NPI Number | 1891857793
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Entity Type | Individual
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Provider Name | VICKY JOHNSON P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1856 LINCOLN AVE
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-5046
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Country | US
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Telephone | 970-879-4558
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Fax | 970-870-8099
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Provider Business Mailing Address
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Address Line | 43449 ELK RUN
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-9115
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Country | US
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Telephone | 970-870-8991
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Fax | 970-870-0932
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4651
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License Number State | CO
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