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General NPI Number Information
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NPI Number | 1629688759
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Entity Type | Organization
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Legal Business Name | J JOHNSON CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 2761 JEFFERSON DAVIS HWY STE 101
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City | STAFFORD
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State | VA
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Zip | 22554-8330
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Country | US
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Telephone | 540-216-0093
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Fax | 540-446-5462
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Provider Business Mailing Address
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Address Line | 328 BOXELDER DR
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City | STAFFORD
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State | VA
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Zip | 22554-6844
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Country | US
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Telephone | 540-845-6577
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Fax | 540-446-5462
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONI J JOHNSON
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Credential | MD
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Telephone | 540-845-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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