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General NPI Number Information
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NPI Number | 1669652319
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Entity Type | Organization
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Legal Business Name | FRANK R JOHNSON, MD, PC
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Dates
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Enumeration Date | 11/10/2007
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Last Update Date | 11/10/2007
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Provider Practice Location Address
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Address Line | 97 PARK AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-1704
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Country | US
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Telephone | 914-779-7920
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Fax | 914-779-4697
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Provider Business Mailing Address
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Address Line | 97 PARK AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-1704
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Country | US
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Telephone | 914-779-7920
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Fax | 914-779-4697
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK R JOHNSON
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Credential | MD
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Telephone | 19147797920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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