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General NPI Number Information
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NPI Number | 1982666129
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Entity Type | Individual
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Provider Name | WILLIAM J JOHNSON JR. FNP
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 111 SOUTH MILLER SUITE C E F
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City | ROCKAWAY BEACH
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State | OR
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Zip | 97136
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Country | US
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Telephone | 503-355-2700
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Fax | 503-355-2702
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | TILLAMOOK
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State | OR
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Zip | 97141
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Country | US
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Telephone | 503-842-3900
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Fax | 503-842-3903
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | OR
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