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General NPI Number Information
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NPI Number | 1588194708
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Entity Type | Individual
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Provider Name | HANNAH JOHNSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1056 HOLLAND AVE
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City | PHILADELPHIA
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State | MS
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Zip | 39350-9121
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Country | US
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Telephone | 601-656-6815
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Fax |
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Provider Business Mailing Address
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Address Line | 46 CARLA DR
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2002
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902055
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License Number State | MS
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