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General NPI Number Information
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NPI Number | 1265667646
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Entity Type | Individual
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Provider Name | FRANCY LYNN JENKO DSW, MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 230 1ST ST S STE 110
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City | VIRGINIA
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State | MN
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Zip | 55792-2670
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Country | US
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Telephone | 218-576-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 SAARI RD
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City | HIBBING
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State | MN
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Zip | 55746-8280
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Country | US
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Telephone | 562-882-6511
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 | 28508
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License Number State | MN
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