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General NPI Number Information
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NPI Number | 1821397605
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Entity Type | Individual
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Provider Name | NATALIA JOHNSON FNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2011
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 36 CHELSEA DR
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City | SMITHTOWN
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State | NY
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Zip | 11787-5910
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Country | US
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Telephone | 516-318-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 36 CHELSEA DR
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City | SMITHTOWN
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State | NY
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Zip | 11787-5910
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Country | US
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Telephone | 516-318-9907
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F355840
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 629173
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License Number State | NY
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