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General NPI Number Information
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NPI Number | 1952310831
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Entity Type | Individual
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Provider Name | LEVIE G JOHNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 108 6TH AVE
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City | KINDER
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State | LA
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Zip | 70648
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Country | US
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Telephone | 337-738-9476
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Fax | 337-738-9410
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Provider Business Mailing Address
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Address Line | 1236 MARINA DR
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City | SLIDELL
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State | LA
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Zip | 70458-9212
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Country | US
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Telephone | 985-856-2623
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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 | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 08482R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.08482R
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License Number State | LA
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