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General NPI Number Information
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NPI Number | 1952562944
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Entity Type | Individual
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Provider Name | BRIAN P JOHNSTON MSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 2364 POST RD SUITE 201
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City | WARWICK
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State | RI
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Zip | 02886-2259
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Country | US
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Telephone | 401-734-9317
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Fax | 401-734-9359
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Provider Business Mailing Address
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Address Line | 2364 POST RD SUITE 201
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City | WARWICK
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State | RI
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Zip | 02886-2259
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Country | US
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Telephone | 401-734-9317
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Fax | 401-734-9359
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116117
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02530
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License Number State | RI
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