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General NPI Number Information
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NPI Number | 1215844105
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Entity Type | Individual
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Provider Name | JOCELYN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 3727 S 78TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53220-1603
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Country | US
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Telephone | 414-604-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 11750 W WHITAKER AVE
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City | GREENFIELD
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State | WI
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Zip | 53228-2454
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NULL
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