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General NPI Number Information
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NPI Number | 1225154263
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Entity Type | Organization
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Legal Business Name | ANDREW P. JOHNSON D.D.S. PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 1707 EAST THIRD STREET
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City | FARMVILLE
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State | VA
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Zip | 23901-0401
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Country | US
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Telephone | 434-392-8185
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Fax | 434-392-8186
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Provider Business Mailing Address
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Address Line | PO BOX 494 1707 E. THIRD ST.
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City | FARMVILLE
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State | VA
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Zip | 23901-0494
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Country | US
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Telephone | 434-392-8185
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Fax | 434-392-8186
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW PARKER JOHNSON
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Credential | D.D.S.
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Telephone | 434-392-8185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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