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General NPI Number Information
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NPI Number | 1326047549
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Entity Type | Individual
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Provider Name | VANESSA M.P. JOHNSON M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD FL 9
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-681-9341
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Fax | 919-681-7700
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Provider Business Mailing Address
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Address Line | 10 SEARLE CENTER DR
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City | DURHAM
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State | NC
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Zip | 27710-3035
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Country | US
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Telephone | 919-681-6006
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Fax | 919-684-0745
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2025-02816
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 2025-02816
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License Number State | NC
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