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General NPI Number Information
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NPI Number | 1184218141
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Entity Type | Organization
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Legal Business Name | A.J. JOHNSON, OD, PC
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Dates
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Enumeration Date | 02/21/2021
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1200 S MAIN ST
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City | CHELSEA
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State | MI
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Zip | 48118-1423
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Country | US
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Telephone | 734-475-9953
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Fax | 734-475-9063
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Provider Business Mailing Address
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Address Line | 1200 S MAIN ST
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City | CHELSEA
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State | MI
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Zip | 48118-1423
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Country | US
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Telephone | 517-745-6007
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANDREW JOHNSON
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Credential | OD
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Telephone | 734-475-9953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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