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General NPI Number Information
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NPI Number | 1952384513
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Entity Type | Individual
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Provider Name | VIRLANA JOHNSON-SILVA P.A.-C.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 21045 N 9TH PL SUITE 205
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City | PHOENIX
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State | AZ
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Zip | 85024-5634
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Country | US
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Telephone | 866-465-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 20896 N 88TH LN
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 480-272-2217
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2464
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License Number State | AZ
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