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General NPI Number Information
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NPI Number | 1235613563
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Entity Type | Organization
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Legal Business Name | JOSH JOHNSON, LPC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 8080 WARD PKWY STE 360
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City | KANSAS CITY
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State | MO
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Zip | 64114-2014
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Country | US
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Telephone | 913-302-3764
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Fax |
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Provider Business Mailing Address
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Address Line | 5617 KENWOOD AVE
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City | KANSAS CITY
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State | MO
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Zip | 64110-2729
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Country | US
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Telephone | 913-302-3764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA MICHAEL JOHNSON
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Credential | LPC
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Telephone | 913-302-3764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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