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General NPI Number Information
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NPI Number | 1740563618
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Entity Type | Individual
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Provider Name | DEANN L JOHNSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1000 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-3042
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Country | US
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Telephone | 585-271-2520
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Fax | 585-295-8029
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Provider Business Mailing Address
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Address Line | 2 COULTER RD
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1122
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Country | US
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Telephone | 315-462-1050
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Fax | 315-462-0145
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 089436-01
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License Number State | NY
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