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General NPI Number Information
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NPI Number | 1194753111
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Entity Type | Organization
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Legal Business Name | STEVEN A JOHNSON MD PA
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 600 E TAYLOR ST SUITE 201
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City | SHERMAN
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State | TX
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Zip | 75090-2881
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Country | US
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Telephone | 903-957-1104
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Fax | 903-957-1105
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Provider Business Mailing Address
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Address Line | 600 E TAYLOR ST SUITE 201
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City | SHERMAN
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State | TX
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Zip | 75090-2881
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Country | US
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Telephone | 903-957-1104
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Fax | 903-957-1105
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN A JOHNSON
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Credential | MD
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Telephone | 903-957-1104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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