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General NPI Number Information
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NPI Number | 1831161744
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Entity Type | Individual
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Provider Name | DANIEL P. JOHNSTON O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 923 PAOLI PIKE
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City | WEST CHESTER
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State | PA
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Zip | 19380-4527
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Country | US
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Telephone | 610-692-8300
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Fax | 610-692-6007
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Provider Business Mailing Address
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Address Line | 122 WOODMINT DR
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City | WEST CHESTER
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State | PA
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Zip | 19380-2102
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Country | US
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Telephone | 813-597-8147
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Fax | 610-692-6007
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 3715
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001893
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License Number State | PA
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