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General NPI Number Information
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NPI Number | 1316210313
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Entity Type | Individual
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Provider Name | NAEEMAH EFURU-MUNIRAH JOHNSON MSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 917 N CLEVELAND ST APT B
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City | KENNEWICK
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State | WA
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Zip | 99336-1477
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Country | US
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Telephone | 509-366-7945
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MONROE AVE NE APT C-4
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City | RENTON
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State | WA
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Zip | 98056-3903
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Country | US
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Telephone | 425-306-5245
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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 | LW60175042
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License Number State | WA
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