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General NPI Number Information
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NPI Number | 1093739716
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Entity Type | Individual
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Provider Name | GERALD JERARD JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 5252 W UNIVERSITY DR ATTN: MKIPCU
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City | MCKINNEY
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State | TX
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Zip | 75071-7822
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Country | US
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Telephone | 469-764-6950
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Fax | 469-764-6954
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Provider Business Mailing Address
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Address Line | 5252 W UNIVERSITY DR ATTN: MKIPCU
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City | MCKINNEY
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State | TX
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Zip | 75071-7822
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Country | US
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Telephone | 469-764-6950
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Fax | 469-764-6954
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M3276
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M3276
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License Number State | TX
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