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NPI 1376557744

NPI 1376557744 : MICHAEL AARON JOHNSON DC : EULESS, TX

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General NPI Number Information
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    NPI Number           |    1376557744
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL AARON JOHNSON DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/28/2006
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    Last Update Date     |    09/21/2020
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Provider Practice Location Address
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    Address Line         |    451 WESTPARK WAY STE 7
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    City                 |    EULESS
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    State                |    TX
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    Zip                  |    76040-3703
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    Country              |    US
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    Telephone            |    817-354-7300
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    Fax                  |    817-799-0866
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Provider Business Mailing Address
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    Address Line         |    451 WESTPARK WAY STE 7
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    City                 |    EULESS
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    State                |    TX
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    Zip                  |    76040-3703
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    Country              |    US
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    Telephone            |    817-354-7300
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    Fax                  |    817-799-0866
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    7301
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    License Number State |    TX
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