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General NPI Number Information
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NPI Number | 1174597058
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Entity Type | Individual
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Provider Name | DAVID HOWARD JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 925 IRONWOOD DRIVE SUITE 2103
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City | MINDEN
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State | NV
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Zip | 89423-5180
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Country | US
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Telephone | 775-445-7885
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Fax | 775-783-9550
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Provider Business Mailing Address
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Address Line | 2874 N. CARSON STREET SUITE 200
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City | CARSON CITY
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State | NV
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Zip | 89706-1682
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Country | US
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Telephone | 775-283-3096
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Fax | 775-283-3096
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4143
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4143
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License Number State | NV
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