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General NPI Number Information
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NPI Number | 1811877160
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Entity Type | Organization
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Legal Business Name | JOHNSON NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3380 NOSTRAND AVENUE STE 1E
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City | BROOKLYN
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State | NY
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Zip | 11229
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Country | US
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Telephone | 917-268-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 7 FOX HILL RD
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City | ALBRIGHTSVILLE
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State | PA
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Zip | 18210-3837
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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 | DAVID JOHNSON
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Credential | PMHNP-BC
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Telephone | 917-268-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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