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General NPI Number Information
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NPI Number | 1902608987
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Entity Type | Individual
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Provider Name | RAEGAN PAIGE JOHNSON MSW
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1200 KEYSER AVE STE C
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City | NATCHITOCHES
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State | LA
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Zip | 71457-6264
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Country | US
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Telephone | 318-357-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 3241 HIGHWAY 175
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City | PLEASANT HILL
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State | LA
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Zip | 71065-5126
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Country | US
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Telephone | 318-315-3871
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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