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General NPI Number Information
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NPI Number | 1972483493
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Entity Type | Organization
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Legal Business Name | TIMOTHY S. JOHNSTON, M.D. PC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 410 E YOSEMITE AVE STE B
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City | MERCED
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State | CA
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Zip | 95340-8220
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Country | US
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Telephone | 209-934-8077
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 G ST STE F
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City | MERCED
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State | CA
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Zip | 95340-0978
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Country | US
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Telephone | 209-349-8459
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Fax | 209-580-4138
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | JANETTE PURSLOW
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Credential |
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Telephone | 209-349-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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