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General NPI Number Information
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NPI Number | 1487787891
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Entity Type | Individual
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Provider Name | RANDAL CURTIS JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1398 MUNRAS AVE
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City | MONTEREY
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State | CA
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Zip | 93940-6139
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Country | US
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Telephone | 831-375-2238
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Fax | 831-375-2240
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Provider Business Mailing Address
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Address Line | 54 COUNTRY CLUB DR
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City | CARMEL VALLEY
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State | CA
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Zip | 93924-9552
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Country | US
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Telephone | 831-659-5043
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 15965
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License Number State | CA
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