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General NPI Number Information
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NPI Number | 1659019313
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Entity Type | Individual
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Provider Name | LUISITA JUNIO JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 11212 HIGHWAY 151 STE 360
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4504
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Country | US
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Telephone | 210-520-4100
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Fax | 210-520-4145
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Provider Business Mailing Address
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Address Line | 8907 DUSTY RUN LN
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City | SAN ANTONIO
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State | TX
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Zip | 78254-6311
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Country | US
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Telephone | 210-954-1271
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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 | 1076052
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1076052
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1076052
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License Number State | TX
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