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General NPI Number Information
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NPI Number | 1639520273
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Entity Type | Individual
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Provider Name | ALICE VICTORIA JOHNSON CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-476-3831
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Fax |
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Provider Business Mailing Address
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Address Line | 355 E 88TH ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10128-4924
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Country | US
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Telephone | 248-470-2065
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382724
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 700935
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95187800
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95011678
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License Number State | CA
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