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General NPI Number Information
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NPI Number | 1780771030
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Entity Type | Individual
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Provider Name | CURTIS ANNON JOHNSON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 5875 ALLENTOWN RD
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City | SUITLAND
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State | MD
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Zip | 20746
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Country | US
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Telephone | 301-702-2003
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Fax | 973-678-3420
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Provider Business Mailing Address
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Address Line | 5875 ALLENTOWN RD.
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City | SUITLAND
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State | MD
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Zip | 20746
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Country | US
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Telephone | 301-702-2003
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Fax | 973-678-3420
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D89064
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License Number State | MD
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