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General NPI Number Information
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NPI Number | 1740405976
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Entity Type | Individual
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Provider Name | S ELAINE JOHNSTON PH.D. LPC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 3080 W HIGHWAY 287 BYP
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City | WAXAHACHIE
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State | TX
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Zip | 75167-5000
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Country | US
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Telephone | 469-964-6957
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Fax | 972-698-8479
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Provider Business Mailing Address
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Address Line | PO BOX 962
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City | FORNEY
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State | TX
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Zip | 75126-0962
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Country | US
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Telephone | 469-964-6957
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Fax | 972-698-8479
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 58987
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License Number State | TX
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