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General NPI Number Information
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NPI Number | 1336538255
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Entity Type | Individual
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Provider Name | WILLIAM (DCPS) JOHNSON
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Gender | Male
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 4400 IOWA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5604
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Country | US
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Telephone | 202-576-8130
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Fax |
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Provider Business Mailing Address
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Address Line | 8315 FOUNDERS TER
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-4771
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Country | US
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Telephone | 301-839-2833
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | LC302384
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License Number State | DC
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