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General NPI Number Information
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NPI Number | 1013441815
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Entity Type | Organization
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Legal Business Name | JOHNSON COMPREHENSIVE MEDICINE
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 461 TUSCUMBIA CV W
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City | COLLIERVILLE
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State | TN
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Zip | 38017-3659
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Country | US
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Telephone | 901-623-4766
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1766
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City | COLLIERVILLE
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State | TN
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Zip | 38027-1766
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Country | US
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Telephone | 901-623-4766
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Fax |
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Authorized Official
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Title or Position | NP/OWNER
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Name | APRIL JOHNSON
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Credential | NP-C
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Telephone | 901-623-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN15921
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License Number State | TN
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