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General NPI Number Information
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NPI Number | 1427024132
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Entity Type | Individual
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Provider Name | CHERIE H JOHNSON DPM
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 3131 NASSAU ST SUITE #101
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City | EVERETT
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State | WA
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Zip | 98201-4137
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Country | US
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Telephone | 425-339-8888
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Fax | 425-258-6933
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Provider Business Mailing Address
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Address Line | 3131 NASSAU ST SUITE #101
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City | EVERETT
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State | WA
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Zip | 98201-4137
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Country | US
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Telephone | 425-339-8888
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Fax | 425-258-6933
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO00000583
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License Number State | WA
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