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General NPI Number Information
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NPI Number | 1083094791
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Entity Type | Individual
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Provider Name | VICTORIA LECORIAN JOHNSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 804 FAIRVIEW LN APT 2
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City | FORT LEE
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State | NJ
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Zip | 07024-1568
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Country | US
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Telephone | 478-719-7682
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Fax | 551-236-2513
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Provider Business Mailing Address
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Address Line | 804 FAIRVIEW LN APT 2
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City | FORT LEE
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State | NJ
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Zip | 07024-1568
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Country | US
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Telephone | 478-719-7682
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Fax | 551-236-2513
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35571
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A184505
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA11645700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | EMC0002347
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD223582
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 303597
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | EMC0002347
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A184505
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 303597
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 93593
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License Number State | GA
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