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General NPI Number Information
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NPI Number | 1376744193
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Entity Type | Individual
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Provider Name | FAYE E. JOHNSTON LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 398 CAMINO GARDENS BLVD SUITE 205
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City | BOCA RATON
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State | FL
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Zip | 33432-5827
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Country | US
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Telephone | 561-395-6599
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Fax | 561-395-8964
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Provider Business Mailing Address
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Address Line | 398 CAMINO GARDENS BLVD SUITE 205
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City | BOCA RATON
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State | FL
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Zip | 33432-5827
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Country | US
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Telephone | 561-395-6599
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Fax | 561-395-8964
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH0004300
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License Number State | FL
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