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General NPI Number Information
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NPI Number | 1528323243
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Entity Type | Individual
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Provider Name | CHRISTOPHER SCOTT JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0002
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Country | US
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Telephone | 507-266-2049
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Fax |
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Provider Business Mailing Address
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Address Line | 3938 5TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-7514
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 60249
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License Number State | MN
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