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General NPI Number Information
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NPI Number | 1538819305
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Entity Type | Individual
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Provider Name | DAKOTA L. JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 109 1ST AVE
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City | KINDER
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State | LA
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Zip | 70648-3512
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Country | US
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Telephone | 337-205-2301
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Fax | 337-222-5671
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Provider Business Mailing Address
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Address Line | 109 1ST AVE
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City | KINDER
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State | LA
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Zip | 70648-3512
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Country | US
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Telephone | 337-205-2301
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Fax | 337-222-5671
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 348416
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License Number State | LA
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