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General NPI Number Information
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NPI Number | 1720900632
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Entity Type | Individual
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Provider Name | PATRICIA ROSEMARIE JOHNSON APRN
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 4800 N NOB HILL RD
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City | SUNRISE
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State | FL
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Zip | 33351-4799
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Country | US
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Telephone | 954-577-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 8541 NW 53RD CT
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City | LAUDERHILL
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State | FL
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Zip | 33351-4818
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Country | US
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Telephone | 954-579-8842
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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 | 11049451
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License Number State | FL
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