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General NPI Number Information
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NPI Number | 1356964829
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Entity Type | Organization
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Legal Business Name | JOHNSON & JOHNSON HOLISTIC NUTRITION THERAPY
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 2591 DALLAS PKWY STE 300
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City | FRISCO
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State | TX
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Zip | 75034-8563
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Country | US
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Telephone | 214-774-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 2591 DALLAS PKWY STE 300
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City | FRISCO
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State | TX
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Zip | 75034-8563
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Country | US
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Telephone | 214-774-4760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRYSTAL JOHNSON
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Credential | NTP
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Telephone | 214-774-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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