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General NPI Number Information
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NPI Number | 1548718802
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Entity Type | Individual
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Provider Name | DANIEL SCOTT JOHNSTONE PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1700 HOSPITAL SOUTH DR STE 102
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City | AUSTELL
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State | GA
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Zip | 30106-8116
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Country | US
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Telephone | 470-956-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 HOSPITAL SOUTH DR STE 102
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City | AUSTELL
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State | GA
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Zip | 30106-8116
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Country | US
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Telephone | 470-956-4410
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Fax | 770-745-0782
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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 | PA.0007837
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.005300RX
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2023-0010
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12973
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License Number State | GA
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