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General NPI Number Information
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NPI Number | 1609021484
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Entity Type | Organization
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Legal Business Name | JAMES R JOHNSON DO PA
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 7332 ROSETREE PL E
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City | SEMINOLE
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State | FL
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Zip | 33772-5703
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Country | US
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Telephone | 727-397-9140
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Fax | 727-593-0002
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Provider Business Mailing Address
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Address Line | 7332 ROSETREE PL E
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City | SEMINOLE
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State | FL
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Zip | 33772-5703
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Country | US
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Telephone | 727-397-9140
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Fax | 727-593-0002
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | RENEE MCELWANEY
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Credential |
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Telephone | 727-596-1815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS0004837
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License Number State | FL
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