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General NPI Number Information
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NPI Number | 1518101450
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH JOHNSON PA
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Gender | Female
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 1010 E 3RD ST SUITE 202
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2109
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Country | US
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Telephone | 423-265-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 E 3RD ST SUITE 202
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2109
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Country | US
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Telephone | 423-265-2233
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1714
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License Number State | TN
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