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General NPI Number Information
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NPI Number | 1437203676
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Entity Type | Individual
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Provider Name | GERARD SCOT JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 5110 N 10TH ST SUITE E
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City | MCALLEN
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State | TX
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Zip | 78504-2834
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Country | US
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Telephone | 956-631-4444
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Fax | 956-631-5478
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Provider Business Mailing Address
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Address Line | 5018 N 10TH ST SUITE D
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City | MCALLEN
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State | TX
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Zip | 78504-2832
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Country | US
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Telephone | 956-683-9600
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Fax | 956-683-9623
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H3477
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | H3477
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License Number State | TX
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