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General NPI Number Information
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NPI Number | 1215426168
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH JOHNSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 110 W AVENUE F STE 100
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-2972
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Country | US
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Telephone | 469-428-7251
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Fax | 469-708-4376
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Provider Business Mailing Address
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Address Line | 122 W JOHN CARPENTER FWY STE 420
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City | IRVING
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State | TX
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Zip | 75039-2014
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP137296
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License Number State | TX
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