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General NPI Number Information
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NPI Number | 1982046827
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Entity Type | Individual
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Provider Name | MICHAEL JOHNS PHARM D
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Gender | Male
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 2040 DOUGLAS AVE
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City | BREWTON
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State | AL
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Zip | 36426-1151
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Country | US
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Telephone | 251-867-6838
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Fax | 251-867-7565
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Provider Business Mailing Address
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Address Line | 212 JOHNS RD
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City | BREWTON
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State | AL
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Zip | 36426-4714
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16342
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License Number State | AL
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