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General NPI Number Information
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NPI Number | 1316973290
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Entity Type | Individual
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Provider Name | LINDA S JOHNSON LPC, LBP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 7113 S LINN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-2715
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Country | US
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Telephone | 405-681-8308
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Fax | 405-681-4434
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Provider Business Mailing Address
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Address Line | 7113 S LINN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-2715
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Country | US
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Telephone | 405-681-8308
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Fax | 405-681-4434
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3124
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0155
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License Number State | OK
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