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General NPI Number Information
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NPI Number | 1841355138
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Entity Type | Individual
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Provider Name | DONALD J JOHNSON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 S RANCHO DR STE F37
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City | LAS VEGAS
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State | NV
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Zip | 89106-4834
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Country | US
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Telephone | 702-388-9403
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Fax | 702-388-9643
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Provider Business Mailing Address
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Address Line | 3191 COACHLIGHT CIR
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City | LAS VEGAS
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State | NV
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Zip | 89117-3145
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Country | US
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Telephone | 702-363-9551
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Fax | 702-363-9551
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0389
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License Number State | NV
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