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General NPI Number Information
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NPI Number | 1174652275
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Entity Type | Individual
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Provider Name | ANN ILENE PAYNE-JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2115 W NINE MILE RD STE 2
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City | PENSACOLA
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State | FL
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Zip | 32534-9438
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Country | US
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Telephone | 448-227-5550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95590
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0590
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-7976
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.42647
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License Number State | AL
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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 | ME113587
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | ME113587
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License Number State | FL
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