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General NPI Number Information
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NPI Number | 1407872427
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Entity Type | Individual
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Provider Name | JAMES D JOHNSON DC
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 704 S TIMBERLANE DR STE.13
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City | EL DORADO
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State | AR
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Zip | 71730-6929
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Country | US
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Telephone | 870-875-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 704 S TIMBERLANE DR STE.13
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City | EL DORADO
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State | AR
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Zip | 71730-6929
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Country | US
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Telephone | 870-875-2225
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1486
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License Number State | AR
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