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General NPI Number Information
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NPI Number | 1831029792
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Entity Type | Individual
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Provider Name | KATIE JOHNSON ASTON LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 6126 W STATE ST STE 204
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City | BOISE
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State | ID
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Zip | 83703-2741
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Country | US
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Telephone | 208-479-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 4602 W FARM VIEW DR
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City | BOISE
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State | ID
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Zip | 83714-9325
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Country | US
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Telephone | 435-764-3382
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1281117
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License Number State | ID
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