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NPI 1649260415

NPI 1649260415 : ROBERT PAUL JOHNSON MD : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1649260415
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT PAUL JOHNSON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/24/2005
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    Last Update Date     |    10/06/2014
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Provider Practice Location Address
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    Address Line         |    1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30322-1059
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    Country              |    US
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    Telephone            |    404-712-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    954 GATEWOOD RD NE YERKES/EMORY UNIVERSITY
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30329-4208
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    Country              |    US
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    Telephone            |    404-727-7707
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    Fax                  |    404-727-0623
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    59359
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    59359
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    72334
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    License Number State |    GA
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