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General NPI Number Information
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NPI Number | 1326331414
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Entity Type | Individual
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Provider Name | CHARMINE ROSLYN JOHNSON-GARWOOD P.HD.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | SHOP #13, ICON FEAREVIEW MALL. 12 CRANE BLVD FAIRVIEW
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City | MONTEGO BAY
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State | ST. JAMES
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Zip | 00000
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Country | JM
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Telephone | 876-318-1780
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Fax |
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Provider Business Mailing Address
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Address Line | READING POST OFFICE, BOX 31 READING
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City | MONTEGO BAY
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State | ST. JAMES
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Zip | 00000
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Country | JM
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Telephone | 619-288-4463
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 12-0153
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License Number State | ZZ
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