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General NPI Number Information
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NPI Number | 1154560621
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Entity Type | Individual
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Provider Name | SARAH REBECCA JOHNSON RN, AOCNP, MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 2400 W FRIENDLY AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1109
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Country | US
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Telephone | 336-832-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 75216
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City | CHARLOTTE
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State | NC
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Zip | 28275-0216
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Country | US
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Telephone | 336-277-8800
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Fax | 336-277-8850
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024181288
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5004304
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License Number State | NC
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