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General NPI Number Information
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NPI Number | 1245840800
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Entity Type | Individual
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Provider Name | ANNA JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 142 GREENWOOD HOLLOW RD
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-8908
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Country | US
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Telephone | 417-772-2242
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5623
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City | BELLA VISTA
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State | AR
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Zip | 72714-0623
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Country | US
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Telephone | 417-772-2242
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10240-M
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10240-C
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License Number State | AR
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