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General NPI Number Information
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NPI Number | 1609644772
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Entity Type | Individual
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Provider Name | LAUREN ELISABETH JOHNSTON MS, MFT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 7290 VIRGINIA PKWY STE 2600
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City | MCKINNEY
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State | TX
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Zip | 75071-5749
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Country | US
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Telephone | 682-382-2968
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 AMHERST DR
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City | PLANO
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State | TX
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Zip | 75075-7203
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Country | US
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Telephone | 972-849-3956
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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 | 204284
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License Number State | TX
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