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General NPI Number Information
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NPI Number | 1356512040
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Entity Type | Individual
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Provider Name | GWENYTH L JOHNSON RD, LD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2924 SEAGULL DR # NA
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City | DULUTH
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State | GA
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Zip | 30096-3990
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Country | US
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Telephone | 704-238-9240
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 SEAGULL DR
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City | DULUTH
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State | GA
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Zip | 30096-3960
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Country | US
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Telephone | 470-238-9240
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | LD002373
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | LD002373
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | LD002373
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD002373
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License Number State | GA
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