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General NPI Number Information
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NPI Number | 1497903587
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Entity Type | Individual
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Provider Name | LYNN RENEE JOHNSON MSN,APN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 651 HIGH ST
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City | BURLINGTON
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State | NJ
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Zip | 08016-2737
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Country | US
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Telephone | 609-386-0775
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Fax | 609-386-4372
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Provider Business Mailing Address
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Address Line | 1 N WHITE HORSE PIKE
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City | HAMMONTON
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State | NJ
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Zip | 08037-1875
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Country | US
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Telephone | 609-567-0434
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Fax | 609-567-1169
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00168800
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License Number State | NJ
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