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General NPI Number Information
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NPI Number | 1013850296
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Entity Type | Individual
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Provider Name | TRICIA LYNN JOHNSON BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 5210 DIANA CT
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-1179
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Country | US
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Telephone | 817-673-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 5210 DIANA CT
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-1179
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Country | US
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Telephone | 817-673-7880
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 657385
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License Number State | TX
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