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General NPI Number Information
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NPI Number | 1902856479
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Entity Type | Individual
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Provider Name | TODD C JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 2241 PEGGY LN SUITE A
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City | GARLAND
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State | TX
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Zip | 75042-5732
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Country | US
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Telephone | 972-276-0536
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Fax | 972-276-6037
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Provider Business Mailing Address
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Address Line | 2241 PEGGY LN SUITE A
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City | GARLAND
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State | TX
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Zip | 75042-5732
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Country | US
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Telephone | 972-276-0536
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Fax | 972-276-6037
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J9116
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License Number State | TX
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