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General NPI Number Information
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NPI Number | 1558612994
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Entity Type | Individual
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Provider Name | JOHNNIE WOODS
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Gender | Male
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 44447 10TH ST W # W
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City | LANCASTER
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State | CA
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Zip | 93534-3324
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Country | US
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Telephone | 818-996-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 25910 ACERO STE 160
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2777
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Country | US
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Telephone | 877-527-7227
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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