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General NPI Number Information
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NPI Number | 1336395706
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Entity Type | Individual
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Provider Name | ERICA L JOHNSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2008
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 400 E STATE ST
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City | ATHENS
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State | OH
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Zip | 45701-1856
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Country | US
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Telephone | 614-743-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 W WOODRUFF AVE
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City | TOLEDO
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State | OH
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Zip | 43606-4853
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Country | US
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Telephone | 419-309-2659
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN270058
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 61151126
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 256698-30
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 61151704
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP026168
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-CNP026168
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10456-33
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License Number State | WI
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