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General NPI Number Information
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NPI Number | 1700987880
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Entity Type | Individual
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Provider Name | ELIZABETH ANN JOHNSON CNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 CANNON
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City | HELENA
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State | MT
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Zip | 59601
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Country | US
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Telephone | 406-443-4368
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Fax | 406-443-2351
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Provider Business Mailing Address
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Address Line | 2525 4TH AVENUE NORTH SUITE 201
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-248-3637
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Fax | 406-254-9330
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN20658
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License Number State | MT
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