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General NPI Number Information
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NPI Number | 1124910773
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Entity Type | Individual
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Provider Name | KAMELA ROSE JOHNSON LSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2722 N HANCOCK ST UNIT 304
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3539
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Country | US
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Telephone | 215-469-1668
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Fax |
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Provider Business Mailing Address
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Address Line | 623 S 17TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1546
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Country | US
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Telephone | 267-670-6883
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW142720
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License Number State | PA
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