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General NPI Number Information
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NPI Number | 1558661736
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Entity Type | Individual
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Provider Name | BETH A JOHNSON MA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 308 BARNES RD
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City | WILLIAMSTOWN
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State | KY
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Zip | 41097-9483
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Country | US
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Telephone | 859-824-4442
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Fax | 859-824-4448
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Provider Business Mailing Address
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Address Line | 308 BARNES RD
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City | WILLIAMSTOWN
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State | KY
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Zip | 41097-9483
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Country | US
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Telephone | 859-824-4442
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Fax | 859-824-4448
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1121
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License Number State | KY
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