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General NPI Number Information
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NPI Number | 1508545922
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER L'AARON JOHNSON
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 9110 RAILROAD DR STE 310A
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City | MANASSAS PARK
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State | VA
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Zip | 20111-7042
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Country | US
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Telephone | 703-334-2206
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Fax |
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Provider Business Mailing Address
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Address Line | 13280 WOODLAND PARK RD APT 319
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City | HERNDON
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State | VA
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Zip | 20171-5036
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Country | US
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Telephone | 443-622-0397
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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