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*Data from CMS PECOS Database. Last synced: December 26, 2024
Dr. Sarah Elizabeth Johnson
NPI : 1234567890
- PECOS Enrolled
Personal information
Name: Name
Gender: Male
Sole Proprietor : No
NPI Information
NPI: 1234567890
Entity type: Individual
Enumeration date: -
last updated: -
Mailing Address
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Line: -
City/State/Zip: -
Phone number: -
Fax number: -
Practice Address
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Line: -
City/State/Zip: -
Phone number: -
Fax number: -
Taxonomy
Code
Primary
State
License
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Last Updated : 2024-12-26
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Complete Medicare PECOS
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Medical Imaging
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