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General NPI Number Information
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NPI Number | 1629467352
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Entity Type | Individual
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Provider Name | GARY JOHNSTON JR. DNP, APRN-C
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Gender | Male
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 333 N BYRON BUTLER PKWY
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City | PERRY
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State | FL
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Zip | 32347-2300
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Country | US
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Telephone | 850-584-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 8136 VIBURNUM CT
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City | TALLAHASSEE
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State | FL
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Zip | 32312-5701
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Country | US
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Telephone | 850-728-1179
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9205099
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9205099
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License Number State | FL
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