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General NPI Number Information
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NPI Number | 1861036196
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Entity Type | Organization
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Legal Business Name | J. DAWN JOHNSON, PSYD, PLLC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 1634 I ST NW STE 1200
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City | WASHINGTON
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State | DC
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Zip | 20006-4011
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Country | US
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Telephone | 202-495-1581
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 FRANCIS HAMMOND PKWY
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3915
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Country | US
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Telephone | 202-487-1400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACQLYN DAWN JOHNSON
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Credential | PSYD
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Telephone | 202-495-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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