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General NPI Number Information
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NPI Number | 1316958606
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Entity Type | Individual
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Provider Name | SUSAN F JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD ROUTE 0479
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City | GALVESTON
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State | TX
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Zip | 77555-5302
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Country | US
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Telephone | 409-772-1430
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Fax | 409-772-6833
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BOULEVARD 301 UNIVERSITY BLVD RT. 0479
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City | GALVESTON
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State | TX
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Zip | 77550-0479
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Country | US
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Telephone | 409-772-1430
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Fax | 409-772-6833
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 232242
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License Number State | TX
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