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General NPI Number Information
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NPI Number | 1730727355
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Entity Type | Organization
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Legal Business Name | EMILY JOHNSON LMFT LLC
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1188 OLIVE ST
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City | EUGENE
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State | OR
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Zip | 97401-3547
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Country | US
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Telephone | 541-227-6450
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Fax | 541-275-0807
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Provider Business Mailing Address
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Address Line | 1188 OLIVE ST
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City | EUGENE
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State | OR
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Zip | 97401-3547
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Country | US
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Telephone | 541-227-6450
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Fax | 541-275-0807
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Authorized Official
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Title or Position | SOLE OWNER & PROVIDER
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Name | EMILY JOHNSON
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Credential | M. ED., LMFT
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Telephone | 541-227-6450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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