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NPI 1093226235

NPI 1093226235 : DAWN M JOHNSON RN : DERRY, NH

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General NPI Number Information
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    NPI Number           |    1093226235
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN M JOHNSON RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/16/2017
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    Last Update Date     |    10/16/2017
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Provider Practice Location Address
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    Address Line         |    33 1/2 BEACON HILL RD 
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    City                 |    DERRY
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    State                |    NH
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    Zip                  |    03038-4386
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    Country              |    US
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    Telephone            |    978-866-9099
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 1/2 BEACON HILL RD 
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    City                 |    DERRY
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    State                |    NH
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    Zip                  |    03038-4386
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    Country              |    US
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    Telephone            |    978-866-9099
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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        |    163WC1500X
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    Taxonomy Name        |    Community Health Registered Nurse
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    License Number       |    RN2295607
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    163WS0200X
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    Taxonomy Name        |    School Registered Nurse
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    License Number       |    RN2295607
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN2295607
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    License Number State |    MA
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