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General NPI Number Information
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NPI Number | 1821294232
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Entity Type | Individual
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Provider Name | ERIN MACSENE JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 1089 DELANCY DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-9706
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Country | US
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Telephone | 910-689-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 1089 DELANCY DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-9706
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Country | US
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Telephone | 910-689-5777
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P007018
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C009028
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License Number State | NC
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