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General NPI Number Information
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NPI Number | 1083041214
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER WAYNE JOHNSTONE
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Gender | Male
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 233 S 10TH ST BLSB, ROOM 1050
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5541
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Country | US
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Telephone | 188-895-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 2 UNIVERSITY PLZ STE 204
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City | HACKENSACK
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State | NJ
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Zip | 07601-6211
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Country | US
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Telephone | 551-295-8223
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP012926
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License Number State | PA
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