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General NPI Number Information
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NPI Number | 1154279065
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Entity Type | Individual
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Provider Name | CATHERINE HOPE JOHNSON BS, DDS
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 801 S PAULINA ST
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City | CHICAGO
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State | IL
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Zip | 60612-7210
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Country | US
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Telephone | 312-996-7532
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Fax | 312-413-8006
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Provider Business Mailing Address
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Address Line | 920 WEYBURN PLACE SYCAMORE #118
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City | LOS ANGELES
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State | CA
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Zip | 90024
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Country | US
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Telephone | 770-990-5678
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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