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General NPI Number Information
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NPI Number | 1821026030
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Entity Type | Individual
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Provider Name | SAMANTHA KAYE JOHNSON DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2970 PEACHTREE RD NW STE 660
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City | ATLANTA
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State | GA
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Zip | 30305-2115
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Country | US
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Telephone | 404-237-6464
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Fax | 404-266-8567
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Provider Business Mailing Address
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Address Line | 2970 PEACHTREE RD NW STE 660
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City | ATLANTA
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State | GA
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Zip | 30305-2115
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Country | US
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Telephone | 404-237-6464
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Fax | 404-266-8567
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN014944
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 53131
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24511
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14944
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 049903
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License Number State | NY
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