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General NPI Number Information
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NPI Number | 1013649946
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Entity Type | Individual
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Provider Name | JEANA BISEK LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 14525 HIGHWAY 7 STE 250
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City | MINNETONKA
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State | MN
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Zip | 55345-3748
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Country | US
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Telephone | 612-709-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 9920 BRIAR RD APT 304
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3915
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Country | US
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Telephone | 952-994-3153
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28498
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License Number State | MN
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