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General NPI Number Information
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NPI Number | 1700998440
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Entity Type | Individual
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Provider Name | PAULA ANN JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 8177 CLEARVISTA PKWY
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1662
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Country | US
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Telephone | 317-621-7801
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Fax | 317-621-7205
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Provider Business Mailing Address
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Address Line | 65 AIRPORT PKWY STE 114
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City | GREENWOOD
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State | IN
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Zip | 46143-1439
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Country | US
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Telephone | 317-807-0268
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71001130
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License Number State | IN
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