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General NPI Number Information
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NPI Number | 1356033419
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Entity Type | Individual
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Provider Name | DARA GENEAL JOHNSON DMD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 300 JADE PARK STE 302
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City | CHELSEA
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State | AL
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Zip | 35043-8349
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Country | US
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Telephone | 205-678-2096
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Fax | 659-399-9161
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Provider Business Mailing Address
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Address Line | 300 JADE PARK STE 302
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City | CHELSEA
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State | AL
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Zip | 35043-8349
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Country | US
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Telephone | 205-678-2096
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Fax | 659-399-9161
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D.007447-C1
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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