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General NPI Number Information
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NPI Number | 1225394554
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Entity Type | Individual
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Provider Name | EDWARD MERLE JOHNSON II PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 08/07/2021
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Provider Practice Location Address
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Address Line | 13485 VETERANS WAY STE 410
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City | ORLANDO
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State | FL
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Zip | 32827-7762
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Country | US
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Telephone | 682-201-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 424 PALISADES TRL
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City | KELLER
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State | TX
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Zip | 76248-1508
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Country | US
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Telephone | 414-975-9370
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH0016184
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0006564
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHA0021639
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14019040
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License Number State | WI
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