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General NPI Number Information
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NPI Number | 1043596216
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL JOHNSON & ASSOCIATES
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 1413 RAINBOW DR
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City | GADSDEN
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State | AL
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Zip | 35901-5386
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Country | US
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Telephone | 256-543-8886
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Fax | 256-546-1094
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Provider Business Mailing Address
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Address Line | 236 BARRINGTON CIR
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City | ALEXANDRIA
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State | AL
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Zip | 36250-7205
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Country | US
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Telephone | 256-452-1572
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Fax | 256-546-1094
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. JAY MICHAEL JOHNSON
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Credential | O.D.
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Telephone | 256-543-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | SB35TA733
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License Number State | AL
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