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General NPI Number Information
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NPI Number | 1063689172
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Entity Type | Individual
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Provider Name | RYAN JOHNSON PA
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 391 HIGHWAY 377 S
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City | ARGYLE
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State | TX
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Zip | 76226-5113
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Country | US
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Telephone | 940-784-7301
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Fax | 469-519-1461
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Provider Business Mailing Address
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Address Line | 8501 FM 407
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City | DOUBLE OAK
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State | TX
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Zip | 75077-3031
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Country | US
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Telephone | 972-966-1980
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Fax | 972-691-4937
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1078006
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA08258
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License Number State | TX
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