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General NPI Number Information
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NPI Number | 1780136572
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Entity Type | Individual
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Provider Name | ANGELA M JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 2331 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6503
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Country | US
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Telephone | 504-304-3737
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Fax | 888-709-6045
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Provider Business Mailing Address
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Address Line | 3015 MEMORIAL PARK DR
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City | NEW ORLEANS
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State | LA
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Zip | 70114-6539
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Country | US
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Telephone | 504-858-8907
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Fax | 504-263-1315
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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