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General NPI Number Information
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NPI Number | 1043013899
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Entity Type | Organization
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Legal Business Name | PHILIP B. JOHNSON, M.S., P.C.
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 3670 QUINCY AVE STE 103
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City | OGDEN
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State | UT
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Zip | 84403-1981
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Country | US
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Telephone | 385-888-2284
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Fax | 801-621-1322
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Provider Business Mailing Address
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Address Line | 3670 QUINCY AVE STE 103
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City | OGDEN
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State | UT
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Zip | 84403-1981
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Country | US
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Telephone | 385-888-2284
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Fax | 801-621-1322
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILIP BIESINGER JOHNSON
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Credential | LMFT
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Telephone | 385-888-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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