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General NPI Number Information
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NPI Number | 1659998797
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Entity Type | Individual
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Provider Name | ERIN CARLA JOHNSON RN
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Gender | Female
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Dates
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Enumeration Date | 07/05/2020
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-668-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 HOLMES ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-2436
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Country | US
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Telephone | 412-605-4823
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN660668
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 130716
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License Number State | NC
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