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General NPI Number Information
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NPI Number | 1336585108
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Entity Type | Individual
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Provider Name | JOYCE ANN JOHNSON PLPC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 1125 KARSCH BLVD.
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City | FARMINGTON
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State | MO
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Zip | 63640-0173
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Country | US
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Telephone | 573-218-9633
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Fax | 573-218-9636
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Provider Business Mailing Address
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Address Line | 10152 DEERING RD. PO BOX 322
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City | TIFF
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State | MO
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Zip | 63674-0322
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Country | US
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Telephone | 636-586-4567
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Fax | 636-586-4567
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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 | 2012037179
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License Number State | MO
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