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General NPI Number Information
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NPI Number | 1114194735
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Entity Type | Individual
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Provider Name | ROBERT DANIEL JOHNSON RPH
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 903 E FORT AVE
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City | BALTIMORE
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State | MD
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Zip | 21230-4762
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Country | US
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Telephone | 410-962-5546
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Fax | 410-962-0577
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Provider Business Mailing Address
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Address Line | 10401 OLD GEORGETOWN RD #205 PATIENT PHARMACY
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-571-0860
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Fax | 301-571-0850
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 09458
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019841
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 532023473
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 113415
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302023473
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License Number State | MI
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