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General NPI Number Information
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NPI Number | 1427508472
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Entity Type | Individual
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Provider Name | KIMBERLY KATE JOHNSON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 575 LINCOLN AVE STE 350
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City | NAPA
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State | CA
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Zip | 94558-3631
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Country | US
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Telephone | 707-637-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 HARDMAN AVE
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City | NAPA
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State | CA
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Zip | 94558-1409
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Country | US
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Telephone | 509-750-6746
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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