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General NPI Number Information
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NPI Number | 1124748447
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Entity Type | Individual
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Provider Name | SHARON LANG JOHNSON RN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 4651 LONG BRANCH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92107
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Country | US
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Telephone | 619-997-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 4651 LONG BRANCH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92107
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Country | US
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Telephone |
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 494077
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License Number State | CA
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