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General NPI Number Information
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NPI Number | 1992907638
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Entity Type | Individual
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Provider Name | ROBERT H. JOHNSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 3720 NW 13TH ST SUITE 12
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City | GAINESVILLE
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State | FL
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Zip | 32609-5906
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Country | US
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Telephone | 352-332-8792
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 NW 13TH ST SUITE 12
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City | GAINESVILLE
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State | FL
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Zip | 32609-5906
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Country | US
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Telephone | 352-332-8792
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 883
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC 1478
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1478
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License Number State | FL
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