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General NPI Number Information
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NPI Number | 1831466168
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Entity Type | Individual
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Provider Name | RONALD B JOHNSON R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 3151 LENORA CHURCH RD STE 600
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City | SNELLVILLE
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State | GA
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Zip | 30039-4826
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Country | US
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Telephone | 678-344-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 2538 WILLOW WAY DR
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City | LITHONIA
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State | GA
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Zip | 30058-3855
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02059600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH019011
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS26239
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License Number State | FL
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