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General NPI Number Information
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NPI Number | 1699943480
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM F. JOHNSON
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 102 W MAIN ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1740
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Country | US
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Telephone | 570-387-8760
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Fax |
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Provider Business Mailing Address
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Address Line | 102 W MAIN ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1740
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Country | US
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Telephone | 570-387-8760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM F. JOHNSON
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Credential | OD
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Telephone | 570-387-8760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | OEG000471
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License Number State | PA
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