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General NPI Number Information
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NPI Number | 1881521961
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Entity Type | Individual
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Provider Name | ISAAC THOMAS JOHNSON
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Gender |
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 5 PLEASANT AVE APT 1
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City | SUFFERN
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State | NY
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Zip | 10901-4631
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Country | US
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Telephone | 785-424-2448
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PLEASANT AVE APT 1
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City | SUFFERN
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State | NY
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Zip | 10901-4631
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 2026202261
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 127217
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07394300
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 01906797
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License Number State | NJ
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