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General NPI Number Information
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NPI Number | 1699352203
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Entity Type | Individual
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Provider Name | HEATHER LYNN JOHNS MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 200 FIRST STREET SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-2511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860912
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 507-284-2511
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 31713
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 71973
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 71973
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License Number State | MN
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