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General NPI Number Information
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NPI Number | 1255214532
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Entity Type | Individual
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Provider Name | BRITTANY JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 221 W 4TH ST STE 1
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City | CARTHAGE
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State | MO
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Zip | 64836-1727
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Country | US
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Telephone | 417-214-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 3030 W 17TH ST
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City | JOPLIN
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State | MO
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Zip | 64801-3565
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Country | US
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Telephone | 417-499-0290
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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 |
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License Number State | MO
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