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General NPI Number Information
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NPI Number | 1629587613
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Entity Type | Individual
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Provider Name | KATHERINE S JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 160 MAIN ST STE 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3127
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Country | US
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Telephone | 413-588-2077
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Fax | 413-296-2162
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Provider Business Mailing Address
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Address Line | 8 SCHOOL ST
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City | HATFIELD
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State | MA
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Zip | 01038-9770
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Country | US
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Telephone | 413-588-2077
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Fax | 413-296-2162
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2298411
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN2298411
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License Number State | MA
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