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General NPI Number Information
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NPI Number | 1841849080
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Entity Type | Individual
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Provider Name | STEPHANIE L JOHNSON CRNP, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 2801 N STATE ROAD 7
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City | MARGATE
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State | FL
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Zip | 33063-5727
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Country | US
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Telephone | 954-974-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 320 ANTLER POINT DR
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City | NEW MARKET
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State | AL
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Zip | 35761-9017
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1-093081
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 350485
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN11004385
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License Number State | FL
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