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General NPI Number Information
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NPI Number | 1558724906
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Entity Type | Individual
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Provider Name | CHRISTINE JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 9153 HUEBNER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1502
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Country | US
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Telephone | 210-614-7414
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Fax | 210-616-0509
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | T2856
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T2856
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License Number State | TX
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