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General NPI Number Information
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NPI Number | 1588009765
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Entity Type | Individual
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Provider Name | THOMAS VINCENT JOHNSON III MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | WILMER EYE INSTITUTE, JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE STREET, WILMER B-29
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City | BALTIMORE
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State | MD
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Zip | 21287-0001
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Country | US
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Telephone | 410-955-5650
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Fax | 410-614-8496
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Provider Business Mailing Address
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Address Line | 9910 FRANKLIN SQUARE DR # 2110
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City | BALTIMORE
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State | MD
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Zip | 21236-4902
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Country | US
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Telephone | 410-933-6421
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D84976
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License Number State | MD
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