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General NPI Number Information
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NPI Number | 1588916191
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Entity Type | Individual
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Provider Name | THERESA VOLPE JOHNSTONE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 7820 APPLEWOOD WAY
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City | PLEASANTON
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State | CA
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Zip | 94588-4307
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Country | US
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Telephone | 925-484-0074
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 886
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City | PLEASANTON
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State | CA
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Zip | 94566-0088
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Country | US
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Telephone | 925-484-0074
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY17748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY17748
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PSY17748
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PSY17748
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License Number State | CA
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