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General NPI Number Information
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NPI Number | 1386611895
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Entity Type | Individual
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Provider Name | DAVID ALAN JOHNSON PA
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 219 LE PHILLIP CT
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City | CONCORD
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State | NC
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Zip | 28025-2900
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Country | US
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Telephone | 704-795-2198
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Fax | 704-795-2119
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Provider Business Mailing Address
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Address Line | 3703 BROOKWOOD RD
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City | CHARLOTTE
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State | NC
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Zip | 28215-9713
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Country | US
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Telephone | 704-509-0299
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NC
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