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General NPI Number Information
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NPI Number | 1215948013
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Entity Type | Organization
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Legal Business Name | E. ARNOLD JOHNSON, DO, PC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 433 SAINT LUKES DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-7107
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Country | US
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Telephone | 334-260-8308
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Fax | 334-260-8389
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Provider Business Mailing Address
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Address Line | 433 SAINT LUKES DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-7107
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Country | US
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Telephone | 334-260-8308
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Fax | 334-260-8389
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUSTACE ARNOLD JOHNSON III
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Credential | D.O.
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Telephone | 334-260-8308
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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 |
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License Number State |
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