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General NPI Number Information
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NPI Number | 1740482678
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Entity Type | Organization
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Legal Business Name | JOHNSONS' DRAWING AND PROCESSING LAB, INC
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 S COURT ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-5125
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Country | US
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Telephone | 337-948-4481
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Fax | 337-948-4437
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Provider Business Mailing Address
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Address Line | PO BOX 671
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City | OPELOUSAS
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State | LA
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Zip | 70571-0671
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Country | US
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Telephone | 337-948-4481
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENDERSON JOHNSON
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Credential |
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Telephone | 33794844841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLP.200901-PHL
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License Number State | LA
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