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General NPI Number Information
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NPI Number | 1124292891
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Entity Type | Organization
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Legal Business Name | DEBBIE DENNIS-JOHNSON MD INC.
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 1201 JEFFERSON ST
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City | DELANO
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State | CA
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Zip | 93215-2203
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Country | US
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Telephone | 661-721-0737
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Fax | 661-721-0738
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Provider Business Mailing Address
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Address Line | PO BOX 597
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City | DELANO
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State | CA
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Zip | 93216-0597
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Country | US
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Telephone | 661-721-0737
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Fax | 661-721-0738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBBIE DENNIS-JOHNSON
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Credential | MD
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Telephone | 916-995-3763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G69461
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License Number State | CA
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