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General NPI Number Information
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NPI Number | 1568485407
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Entity Type | Individual
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Provider Name | JOLENE KAY JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | LSU HEALTHCARE NETWORK 3401 NORTH BLVD, SUITE 400
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City | BATON ROUGE
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State | LA
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Zip | 70806
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Country | US
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Telephone | 225-381-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 SILVERSIDE DR SUITE 260
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City | BATON ROUGE
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State | LA
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Zip | 70808-9005
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Country | US
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Telephone | 225-490-8882
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Fax | 225-765-9085
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 08331R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 08331R
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License Number State | LA
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