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General NPI Number Information
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NPI Number | 1356727192
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Entity Type | Individual
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Provider Name | AARON MICHAEL JOHNSON M.S. TMFT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 317 S 2ND ST
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City | ALMA
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State | WI
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Zip | 54610-7700
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Country | US
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Telephone | 715-495-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 476 50TH ST
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City | CLEAR LAKE
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State | WI
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Zip | 54005-3442
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Country | US
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Telephone | 715-497-3939
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 467-228
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License Number State | WI
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