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General NPI Number Information
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NPI Number | 1821295585
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Entity Type | Individual
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Provider Name | ARIKA L JOHNSON PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 1145 STURGIS ROAD NAVAL HOSPITAL 29 PALMS
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278-8250
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Country | US
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Telephone | 760-830-2948
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Fax | 760-830-1650
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Provider Business Mailing Address
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Address Line | 2183 E JOYCE DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-2462
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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 |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY24229
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License Number State | CA
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