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General NPI Number Information
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NPI Number | 1467589267
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Entity Type | Individual
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Provider Name | THELMA ELAINE JOHNSON RN.,RNFA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2201 45TH ST COLUMBIA HOSPITAL
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2047
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Country | US
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Telephone | 561-863-3855
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Fax | 561-881-5474
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Provider Business Mailing Address
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Address Line | 849 UNIVERSITY BLVD #205
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City | JUPITER
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State | FL
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Zip | 33458-3079
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Country | US
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Telephone | 561-630-4467
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Fax | 561-630-4467
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | RN1475272
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License Number State | FL
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