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General NPI Number Information
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NPI Number | 1750642559
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH JOHNSON D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 6466 S HIGLEY RD
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City | GILBERT
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State | AZ
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Zip | 85298-4334
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Country | US
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Telephone | 480-457-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 1539 E CASSIA CT
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City | GILBERT
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State | AZ
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Zip | 85298-0801
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Country | US
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Telephone | 678-206-7403
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN014545
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9339
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D009094
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License Number State | AZ
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