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General NPI Number Information
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NPI Number | 1962876037
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Entity Type | Individual
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Provider Name | MARGARET ELIZABETH JOHNSON APN
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Gender | Female
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 18 CORPORATE HILL DR SUITE 203
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4549
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Country | US
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Telephone | 501-225-8821
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 175 187 LOVERS LANE
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City | BIGELOW
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State | AR
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Zip | 72016-0175
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Country | US
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Telephone | 501-759-2436
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | A004556
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License Number State | AR
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