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General NPI Number Information
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NPI Number | 1659796415
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Entity Type | Individual
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Provider Name | SONJA JOHNSON M.S., HS-BCP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 7333 LAZY HILL DR
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City | ORLANDO
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State | FL
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Zip | 32818-8347
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Country | US
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Telephone | 954-673-9625
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Fax |
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Provider Business Mailing Address
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Address Line | 7333 LAZY HILL DR
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City | ORLANDO
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State | FL
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Zip | 32818-8347
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Country | US
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Telephone | 954-673-9625
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT. INTERN IMT 431
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License Number State | FL
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