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General NPI Number Information
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NPI Number | 1992320980
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Entity Type | Organization
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Legal Business Name | ERIC JOHNSON LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 301 S 70TH ST STE 313
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-309-6981
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 KIPLING CIR
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City | LINCOLN
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State | NE
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Zip | 68516-2752
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Country | US
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Telephone | 402-309-6981
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Fax |
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Authorized Official
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Title or Position | DRUG & ALCOHOL COUNSELOR
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Name | ERIC ANDREW JOHNSON
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Credential | PLADC
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Telephone | 402-309-6981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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