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General NPI Number Information
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NPI Number | 1629415500
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Entity Type | Individual
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Provider Name | TANYA MARIE JOHNSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 400 SW 1ST AVE UNIT 1179
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City | OCALA
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State | FL
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Zip | 34478-7748
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Country | US
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Telephone | 352-421-5694
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Fax | 352-421-5226
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Provider Business Mailing Address
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Address Line | 400 SW 1ST AVE UNIT 1179
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City | OCALA
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State | FL
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Zip | 34478-7748
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Country | US
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Telephone | 352-421-5694
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Fax | 352-421-5226
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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 | APRN9213321
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | APRN9213321
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License Number State | FL
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