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General NPI Number Information
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NPI Number | 1194733089
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Entity Type | Individual
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Provider Name | DAVID ANDREW JOHNSON MSW, LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 205 HOSPITAL DR SUITE A
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City | MC KENZIE
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State | TN
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Zip | 38201-1649
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Country | US
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Telephone | 731-352-7907
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Fax | 731-352-4459
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Provider Business Mailing Address
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Address Line | 205 HOSPITAL DR SUITE A
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City | MC KENZIE
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State | TN
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Zip | 38201-1649
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Country | US
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Telephone | 731-352-7907
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Fax | 731-352-4459
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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 | LMFT917
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW3525
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License Number State | TN
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