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General NPI Number Information
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NPI Number | 1588279632
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Entity Type | Individual
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Provider Name | D'ANDRA PEARL JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 15111 WHITTIER BLVD STE 216
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City | WHITTIER
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State | CA
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Zip | 90603-2137
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Country | US
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Telephone | 714-251-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CENTERPOINTE DR STE 700
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City | LA PALMA
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State | CA
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Zip | 90623-2545
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Country | US
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Telephone | 562-726-5976
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 139785
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License Number State | CA
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