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General NPI Number Information
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NPI Number | 1891919643
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Entity Type | Individual
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Provider Name | DR. ZONYA COMELIA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5835 COLLEGE AVE STE B3
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City | OAKLAND
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State | CA
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Zip | 94618-1653
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Country | US
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Telephone | 925-254-2027
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Fax | 925-254-2027
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Provider Business Mailing Address
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Address Line | 39 BATES BLVD
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City | ORINDA
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State | CA
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Zip | 94563-2814
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Country | US
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Telephone | 925-254-2027
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY7119
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License Number State | CA
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