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General NPI Number Information
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NPI Number | 1336067511
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Entity Type | Individual
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Provider Name | MADISON ANN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 3173 DAUPHIN ST UNIT A
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City | MOBILE
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State | AL
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Zip | 36606-4061
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Country | US
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Telephone | 251-301-8276
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Fax |
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Provider Business Mailing Address
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Address Line | 10785 NORTHERN DANCER CT
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City | DAPHNE
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State | AL
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Zip | 36526-0889
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1-184903
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License Number State | AL
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