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General NPI Number Information
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NPI Number | 1225920010
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Entity Type | Individual
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Provider Name | DAVID JOHNSON
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Gender | Male
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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 | 1720 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1718
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Country | US
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Telephone | 801-389-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 703 CEDAR CREST DR
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City | HOOVER
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State | AL
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Zip | 35216-5370
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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