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General NPI Number Information
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NPI Number | 1558519959
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Entity Type | Individual
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Provider Name | CURTIS MICHAEL JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 3085 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1259
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Country | US
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Telephone | 520-323-3099
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Fax | 520-323-3460
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Provider Business Mailing Address
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Address Line | 3085 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1259
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Country | US
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Telephone | 520-323-3099
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Fax | 520-323-3460
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R70640
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License Number State | AZ
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