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General NPI Number Information
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NPI Number | 1649917998
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Entity Type | Individual
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Provider Name | JANICE M BRIZEE JOHNSTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 1775 BROWNING WAY STE 102
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City | ELKO
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State | NV
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Zip | 89801-8338
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Country | US
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Telephone | 775-403-6718
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Fax | 775-204-2202
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Provider Business Mailing Address
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Address Line | PO BOX 592
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City | CARLIN
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State | NV
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Zip | 89822-0592
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Country | US
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Telephone | 775-388-9851
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Fax | 775-204-2202
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11471-C
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License Number State | NV
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