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General NPI Number Information
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NPI Number | 1770595779
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Entity Type | Individual
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Provider Name | VICKIE L JOHNS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 W FRANKLIN ST STE 100
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3617
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Country | US
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Telephone | 469-766-7490
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Fax | 972-923-9011
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Provider Business Mailing Address
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Address Line | 127 KIMBERLY HL
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City | PALMER
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State | TX
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Zip | 75152-9582
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Country | US
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Telephone | 469-766-7490
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Fax | 972-923-9011
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18259T
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License Number State | TX
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