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General NPI Number Information
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NPI Number | 1063407237
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Entity Type | Individual
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Provider Name | NINA F JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 321-841-1893
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Fax | 321-841-3794
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Provider Business Mailing Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 321-841-1893
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Fax | 321-841-3794
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01046939
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301053554
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME171099
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License Number State | FL
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