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General NPI Number Information
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NPI Number | 1578421996
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Entity Type | Individual
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Provider Name | EMMET JOHANSSON NASM-CES
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Gender |
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 964 46TH ST
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City | OAKLAND
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State | CA
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Zip | 94608-3450
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Country | US
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Telephone | 510-500-5439
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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