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General NPI Number Information
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NPI Number | 1750932034
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Entity Type | Individual
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Provider Name | EMILY LYNN JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 150 E 32ND ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-6058
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Country | US
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Telephone | 212-263-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 470 2ND AVE APT 10B
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City | NEW YORK
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State | NY
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Zip | 10016-9185
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Country | US
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Telephone | 484-716-1451
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383016
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License Number State | NY
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