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General NPI Number Information
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NPI Number | 1750253761
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Entity Type | Individual
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Provider Name | MARY P JOHNSTON LSW
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Gender | Female
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4800 FRIENDSHIP AVE STE N-1
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 FRIENDSHIP AVE STE N-1
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-4030
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW143142
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW216780
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License Number State | MA
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