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General NPI Number Information
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NPI Number | 1568729259
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Entity Type | Individual
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Provider Name | BRET ANDREW JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 9101 N CENTRAL EXPY STE 600
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City | DALLAS
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State | TX
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Zip | 75231-5956
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Country | US
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Telephone | 469-250-9065
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Fax | 214-853-5091
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Provider Business Mailing Address
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Address Line | 9101 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75231-5927
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Country | US
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Telephone | 469-250-9065
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | R2367
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | R2367
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License Number State | TX
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