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General NPI Number Information
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NPI Number | 1063703510
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Entity Type | Individual
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Provider Name | KAREN A JOHNSON APN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 3746 SCHERTZ PKWY STE 100
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City | SCHERTZ
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State | TX
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Zip | 78154-2929
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Country | US
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Telephone | 210-380-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 3746 SCHERTZ PKWY STE 100
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City | SCHERTZ
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State | TX
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Zip | 78154-2929
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Country | US
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Telephone | 210-380-1706
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 639757
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP119719
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License Number State | TX
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