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General NPI Number Information
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NPI Number | 1922399740
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Entity Type | Individual
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Provider Name | STEVEN DANIEL JOHNSON DDS
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Gender | Male
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 1635 N GEORGE MASON DR STE 160
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City | ARLINGTON
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State | VA
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Zip | 22205-3680
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Country | US
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Telephone | 703-522-3363
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Fax | 703-522-3370
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Provider Business Mailing Address
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Address Line | 1635 N GEORGE MASON DR STE 160
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City | ARLINGTON
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State | VA
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Zip | 22205-3680
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Country | US
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Telephone | 703-522-3363
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Fax | 703-522-3370
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401006582
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License Number State | VA
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