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General NPI Number Information
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NPI Number | 1043393887
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Entity Type | Individual
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Provider Name | EDITH W JOHNSON LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1033 E SPRINGFIELD DR
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City | BELLEFONTE
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State | PA
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Zip | 16823-8284
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Country | US
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Telephone | 607-342-5455
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Fax | 607-257-0740
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Provider Business Mailing Address
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Address Line | 1033 E SPRINGFIELD DR
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City | BELLEFONTE
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State | PA
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Zip | 16823-8284
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Country | US
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Telephone | 607-342-5455
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Fax | 844-703-5304
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000036
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License Number State | NY
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