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General NPI Number Information
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NPI Number | 1790709103
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Entity Type | Individual
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Provider Name | JOHN BISBEE JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 1051 STATE ROAD 229
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City | BATESVILLE
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State | IN
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Zip | 47006-6809
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Country | US
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Telephone | 812-934-5924
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Fax | 812-934-6436
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Provider Business Mailing Address
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Address Line | 1051 STATE ROAD 229
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City | BATESVILLE
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State | IN
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Zip | 47006-6809
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Country | US
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Telephone | 812-934-5924
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Fax | 812-934-6436
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01049451A
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License Number State | IN
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