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NPI 1104242486

NPI 1104242486 : DR JILL PINAROWICZ LLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1104242486
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR JILL PINAROWICZ LLC 
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Dates
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    Enumeration Date     |    03/11/2014
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    Last Update Date     |    10/14/2014
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Provider Practice Location Address
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    Address Line         |    2150 W 29TH AVE SUITE 330
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80211-3844
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    Country              |    US
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    Telephone            |    720-413-3071
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1940 W 33RD AVE 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80211-3412
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    Country              |    US
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    Telephone            |    570-902-1035
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DR.
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    Name                 |    DR. JILL  PINAROWICZ 
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    Credential           |    PHD, LP
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    Telephone            |    720-413-3071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    4050
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    License Number State |    CO
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