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General NPI Number Information
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NPI Number | 1861626244
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Entity Type | Individual
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Provider Name | DOROTHY KAHN JOHNSON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 1200 N STATE ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-1029
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Country | US
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Telephone | 213-226-8000
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Fax | 323-226-3236
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Provider Business Mailing Address
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Address Line | 6372 FENWORTH CT
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4104
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Country | US
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Telephone | 818-889-7525
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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 | 267832
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License Number State | CA
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