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General NPI Number Information
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NPI Number | 1528218054
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHNSON
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Gender | Male
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Dates
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Enumeration Date | 09/20/2008
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Last Update Date | 09/20/2008
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Provider Practice Location Address
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Address Line | 1400 BATTLEGROUND AVE SUITE 134 A
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City | GREENSBORO
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State | NC
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Zip | 27408-8042
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Country | US
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Telephone | 336-772-6946
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Fax | 866-775-0584
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Provider Business Mailing Address
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Address Line | PO BOX 325
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City | GREENSBORO
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State | NC
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Zip | 27402-0325
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Country | US
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Telephone | 336-772-6946
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Fax | 866-775-0584
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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