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General NPI Number Information
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NPI Number | 1972507887
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Entity Type | Individual
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Provider Name | HELEN REBECCA JOHNSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-9820
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Fax |
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Provider Business Mailing Address
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Address Line | 237 GUNDRY DR
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4117
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Country | US
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Telephone | 540-327-4828
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21020
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License Number State | WV
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