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General NPI Number Information
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NPI Number | 1134436876
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Entity Type | Individual
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Provider Name | MEGHAN JILL JOHNSON PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 5400 FRONTAGE RD
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City | MONROE
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State | LA
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Zip | 71202-4040
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Country | US
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Telephone | 318-345-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 FRONTAGE RD
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City | MONROE
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State | LA
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Zip | 71202-4040
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19236
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License Number State | LA
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