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General NPI Number Information
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NPI Number | 1972133999
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Entity Type | Individual
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Provider Name | BRA'SHEIKA RENEE JOHNSON R.PH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 752 WYNNEWOOD VILLAGE S/C
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City | DALLAS
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State | TX
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Zip | 75224
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Country | US
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Telephone | 214-942-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 754 CROSS CREEK DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-7115
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Country | US
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Telephone | 602-692-1810
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 54127
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License Number State | TX
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