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General NPI Number Information
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NPI Number | 1538983390
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Entity Type | Individual
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Provider Name | CAMARA DAVIS JOHNSON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 12300 FORD RD
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-7248
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Country | US
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Telephone | 817-508-8169
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Fax | 469-470-6264
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Provider Business Mailing Address
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Address Line | 206 HIBISCUS DR
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City | ARLINGTON
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State | TX
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Zip | 76018-1420
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Country | US
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Telephone | 817-528-9614
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1178452
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License Number State | TX
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