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General NPI Number Information
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NPI Number | 1245565746
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Entity Type | Organization
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Legal Business Name | ROBERT HUGH JOHNSTON, JR., M.D., PA
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 6412 N NAVARRO ST SUITE B
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City | VICTORIA
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State | TX
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Zip | 77904-1520
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Country | US
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Telephone | 361-570-8346
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Fax | 361-570-1967
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Provider Business Mailing Address
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Address Line | PO BOX 3353
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City | VICTORIA
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State | TX
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Zip | 77903-3353
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Country | US
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Telephone | 361-570-8346
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Fax | 361-570-1967
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ROBERT HUGH JOHNSTON JR.
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Credential | M.D.
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Telephone | 361-570-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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