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General NPI Number Information
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NPI Number | 1811801616
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Entity Type | Individual
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Provider Name | JOHANN PECSON PARAMEDIC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3311 BEAM RD
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City | CHARLOTTE
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State | NC
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Zip | 28217-9422
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Country | US
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Telephone | 619-746-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 11954 E OLD US HIGHWAY 64
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City | LEXINGTON
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State | NC
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Zip | 27292-7336
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Country | US
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Telephone | 619-746-3937
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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 | 146E00000X
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Taxonomy Name | Community Paramedic
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License Number | P122960
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License Number State | NC
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