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General NPI Number Information
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NPI Number | 1013090661
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Entity Type | Individual
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Provider Name | MARCUS WAYNE JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 1780 GREEN BAY RD.
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City | HIGHLAND PARK
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State | IL
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Zip | 60035
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Country | US
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Telephone | 847-432-4077
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Fax | 847-681-8940
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Provider Business Mailing Address
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Address Line | 5101 WASHINGTON ST STE 13
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City | GURNEE
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State | IL
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Zip | 60031-2988
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Country | US
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Telephone | 847-672-7920
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Fax | 847-672-7916
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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 | CH9181
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License Number State | FL
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