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General NPI Number Information
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NPI Number | 1437706587
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Entity Type | Individual
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Provider Name | THERESE MARIE JOHNSON CEO
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Gender | Female
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 12460 LADD LN
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City | AUBURN
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State | CA
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Zip | 95603-9571
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Country | US
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Telephone | 530-305-8872
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Fax | 530-466-3133
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Provider Business Mailing Address
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Address Line | 12460 LADD LN
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City | AUBURN
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State | CA
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Zip | 95603-9571
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Country | US
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Telephone | 530-305-8872
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Fax | 530-466-3133
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | XXXXXXXXXXX
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | XXXXXXXXXXXX
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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