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General NPI Number Information
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NPI Number | 1871195313
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Entity Type | Individual
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Provider Name | ROBERT BRYAN JOHNSTON
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Gender | Male
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 9451 FM 1960 BYPASS RD W
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City | HUMBLE
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State | TX
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Zip | 77338-4035
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Country | US
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Telephone | 281-540-8861
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Fax | 281-540-3160
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Provider Business Mailing Address
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Address Line | 1902 EASTWOOD LAKE CT
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City | KINGWOOD
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State | TX
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Zip | 77339-3008
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Country | US
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Telephone | 281-359-4995
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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 | 18384
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License Number State | TX
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