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General NPI Number Information
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NPI Number | 1447621099
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Entity Type | Individual
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Provider Name | PATRICIA A JOHNSON FNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 18414 US HIGHWAY 281 N STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78259-7611
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Country | US
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Telephone | 210-495-0222
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Fax | 855-494-6035
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 407-533-6836
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Fax | 407-770-0661
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129258
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License Number State | TX
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