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General NPI Number Information
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NPI Number | 1689451346
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Entity Type | Individual
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Provider Name | KARMALA BANKS JOHNSON LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 12200 SOUTHERN CONNECTOR BLVD
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City | LUSBY
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State | MD
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Zip | 20657-2760
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Country | US
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Telephone | 443-550-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 30 SCARLETT DR
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-3711
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Country | US
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Telephone | 301-806-1638
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 29231
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29231
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License Number State | MD
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