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General NPI Number Information
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NPI Number | 1811974926
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Entity Type | Individual
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Provider Name | DAVID BRYAN JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 4411 OAKWOOD DR
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City | CHATTANOOGA
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State | TN
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Zip | 37416-2367
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Country | US
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Telephone | 423-892-4289
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 WEST END AVE 590
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City | NASHVILLE
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State | TN
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Zip | 37203-1260
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Country | US
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Telephone | 615-913-5086
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Fax | 888-494-2588
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 049908
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License Number State | GA
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