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General NPI Number Information
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NPI Number | 1295902799
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Entity Type | Individual
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Provider Name | LORENA ANN JOHNSON RN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 3425 NICHOLSON ESTATES RD
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City | PACE
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State | FL
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Zip | 32571-9440
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Country | US
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Telephone | 850-994-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 NICHOLSON ESTATES RD
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City | PACE
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State | FL
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Zip | 32571-9440
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Country | US
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Telephone | 850-994-7755
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 3103292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 3103292
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 3103292
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License Number State | FL
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