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General NPI Number Information
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NPI Number | 1255682423
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Entity Type | Individual
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Provider Name | HEIDI MARIE JOHNSON MSN, APRN, APN-BC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 5901 BROKEN SOUND PKWY NW STE 600
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City | BOCA RATON
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State | FL
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Zip | 33487-2784
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Country | US
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Telephone | 561-982-2900
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Fax | 561-928-2901
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Provider Business Mailing Address
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Address Line | 306 NE 28TH TER
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City | BOCA RATON
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State | FL
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Zip | 33431-6835
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Country | US
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Telephone | 561-714-9629
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2012013820
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN3272882
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License Number State | FL
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