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General NPI Number Information
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NPI Number | 1003842014
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Entity Type | Individual
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Provider Name | ROGER A JOHNS AU.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 11750 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2712
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Country | US
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Telephone | 210-614-6644
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Fax | 210-692-1972
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Provider Business Mailing Address
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Address Line | 6700 WASHINGTON AVE S
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3405
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Country | US
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Telephone | 612-351-1529
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 51290
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License Number State | TX
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