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General NPI Number Information
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NPI Number | 1750729968
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Entity Type | Individual
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Provider Name | TERRIE JOHNSON DVM
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 20930 VICTORY BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2609
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Country | US
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Telephone | 818-710-8528
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Fax | 818-710-9312
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Provider Business Mailing Address
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Address Line | 20930 VICTORY BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2609
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Country | US
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Telephone | 818-710-8528
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Fax | 818-710-9312
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 12483
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License Number State | CA
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