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General NPI Number Information
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NPI Number | 1114033776
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Entity Type | Individual
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Provider Name | ESTHER YVONNE JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 5520 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79416-4220
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Country | US
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Telephone | 806-761-0475
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Fax | 806-793-0693
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Provider Business Mailing Address
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Address Line | 5219 CITY BANK PKWY SUITE 135
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City | LUBBOCK
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State | TX
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Zip | 79407-3544
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Country | US
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Telephone | 806-761-0333
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Fax | 806-722-2908
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D34605
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N6393
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License Number State | TX
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