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General NPI Number Information
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NPI Number | 1104816362
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Entity Type | Individual
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Provider Name | JEREMIAH J JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP
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City | LACKLAND AFB
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WILFORD HALL LOOP
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City | LACKLAND AFB
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-7331
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | N4498
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N4498
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License Number State | TX
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