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General NPI Number Information
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NPI Number | 1770439291
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Entity Type | Organization
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Legal Business Name | M.R. JOHNSON THERAPY LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2445 S DARIEN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3717
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Country | US
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Telephone | 267-225-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 925 DICKINSON ST UNIT 25025
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City | PHILADELPHIA
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State | PA
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Zip | 19147-6363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL JOHNSON
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Credential |
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Telephone | 267-225-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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