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General NPI Number Information
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NPI Number | 1245782697
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Entity Type | Individual
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Provider Name | MEREDITH LEE JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1 SANSOME ST STE 3500
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-4436
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Country | US
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Telephone | 604-423-4050
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Fax | 604-243-6214
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Provider Business Mailing Address
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Address Line | 55 MANCHESTER ST UNIT 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5271
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Country | US
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Telephone | 415-658-6791
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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 | 95002334
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License Number State | CA
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