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General NPI Number Information
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NPI Number | 1669074696
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Entity Type | Individual
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Provider Name | SCOTT ALEXANDER JOHNSTON RPH, CSP
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Gender | Male
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 9330 LBJ FWY STE 1300
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City | DALLAS
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State | TX
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Zip | 75243-3436
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Country | US
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Telephone | 888-777-5547
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Fax |
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Provider Business Mailing Address
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Address Line | 971 NOBLE AVE
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City | LANTANA
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State | TX
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Zip | 76226-7348
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Country | US
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Telephone | 214-616-4371
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 39516
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License Number State | TX
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