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General NPI Number Information
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NPI Number | 1407419187
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Entity Type | Individual
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Provider Name | LEA SIMONE JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 14023 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-3550
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Country | US
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Telephone | 281-325-4100
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Fax | 281-325-4292
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Provider Business Mailing Address
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Address Line | 14023 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-3550
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Country | US
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Telephone | 281-325-4100
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Fax | 281-325-4228
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022035816
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T2893
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License Number State | TX
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