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General NPI Number Information
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NPI Number | 1487905667
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Entity Type | Individual
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Provider Name | CEDRIC ARTHUR JOHNSON CMP
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Gender | Male
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 2600 GARDEN RD STE. 238
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City | MONTEREY
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State | CA
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Zip | 93940-5311
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Country | US
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Telephone | 831-320-4845
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Fax | 831-886-1685
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Provider Business Mailing Address
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Address Line | 2600 GARDEN RD STE. 238
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City | MONTEREY
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State | CA
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Zip | 93940-5311
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Country | US
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Telephone | 831-320-4845
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Fax | 831-886-1685
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6093
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License Number State | CA
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