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General NPI Number Information
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NPI Number | 1710070578
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Entity Type | Individual
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Provider Name | CHRISTINE L JOHNSTONE MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 1 SHIRCLIFF WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4748
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Country | US
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Telephone | 904-308-7300
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Fax | 904-354-3571
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Provider Business Mailing Address
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Address Line | PO BOX 863026
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City | ORLANDO
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State | FL
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Zip | 32886-3026
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME97925
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License Number State | FL
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