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General NPI Number Information
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NPI Number | 1891269742
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Entity Type | Individual
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Provider Name | BRIJION JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 9990 COUNTY FARM RD STE 5
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City | RIVERSIDE
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State | CA
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Zip | 92503-3542
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Country | US
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Telephone | 951-358-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 27777 INKSTER RD STE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5326
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-RKLTYB
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License Number State | CA
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