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General NPI Number Information
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NPI Number | 1598778128
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Entity Type | Organization
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Legal Business Name | ROBERT S JOHNSON MD INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1517 MANCHESTER ROAD
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City | CHICO
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State | CA
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Zip | 95926-2434
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Country | US
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Telephone | 530-342-5184
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Fax | 530-342-6462
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Provider Business Mailing Address
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Address Line | 1517 MANCHESTER ROAD
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City | CHICO
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State | CA
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Zip | 95926-2434
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Country | US
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Telephone | 530-342-5184
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Fax | 530-342-6462
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT STURGEON JOHNSON
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Credential | MD
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Telephone | 530-342-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A16031
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License Number State | CA
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