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General NPI Number Information
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NPI Number | 1417878422
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Entity Type | Individual
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Provider Name | MS. RAYLENE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 943 1/2 W 80TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-5017
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Country | US
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Telephone | 424-236-1588
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Fax |
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Provider Business Mailing Address
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Address Line | 943 1/2 W 80TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-5017
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Country | US
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Telephone | 424-236-1588
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 260139357
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License Number State | CA
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