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General NPI Number Information
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NPI Number | 1023697695
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Entity Type | Individual
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Provider Name | ANNA BAILEY JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 312 GRAMMONT ST STE 300
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City | MONROE
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State | LA
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Zip | 71201-7403
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Country | US
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Telephone | 318-388-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 706 SUNFLOWER AVENUE EXT
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City | INDIANOLA
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State | MS
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Zip | 38751-2691
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 347035
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License Number State | LA
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