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General NPI Number Information
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NPI Number | 1437733144
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Entity Type | Individual
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Provider Name | JAMES WESLEY JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2021
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 3301 TERMINAL DR
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City | RALEIGH
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State | NC
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Zip | 27604-1997
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Country | US
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Telephone | 866-542-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 511 HISTORIC DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6939
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Country | US
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Telephone | 318-446-2344
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2022-02642
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License Number State | NC
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