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General NPI Number Information
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NPI Number | 1306485420
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Entity Type | Individual
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Provider Name | MRS. ANN-MARIE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 548 BATTLEFIELD BLVD S
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4007
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Country | US
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Telephone | 757-670-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 548 BATTLEFIELD BLVD S
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5363
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Country | US
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Telephone | 757-271-2968
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Fax | 757-941-7805
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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 |
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