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General NPI Number Information
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NPI Number | 1427017490
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Entity Type | Individual
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Provider Name | MICHAEL ALANDO JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 27 FRANKLIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-0232
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Country | US
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Telephone | 716-592-5006
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Fax | 716-592-5007
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Provider Business Mailing Address
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Address Line | 27 FRANKLIN ST P.O. BOX 232
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City | SPRINGVILLE
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State | NY
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Zip | 14141-0232
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Country | US
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Telephone | 716-592-5006
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Fax | 716-592-5007
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 192833-1
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License Number State | NY
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