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General NPI Number Information
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NPI Number | 1669942140
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Entity Type | Individual
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Provider Name | DEANNA SIGMAN JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 14745 HIGHWAY 29 SUITE E
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City | LI BERTY HILL, TX
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State | TX
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Zip | 78642
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Country | US
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Telephone | 512-508-8116
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Fax |
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Provider Business Mailing Address
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Address Line | 1594 COURMAYEUR CT
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City | ROUND ROCK
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State | TX
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Zip | 78665-1392
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Country | US
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Telephone | 713-385-1498
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 55274
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License Number State | TX
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