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General NPI Number Information
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NPI Number | 1376612606
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Entity Type | Individual
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Provider Name | JODI JEAN PINSKE LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 7675 HIGHWAY 13 W SUITE 102
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City | SAVAGE
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State | MN
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Zip | 55378-1181
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Country | US
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Telephone | 952-808-7700
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Fax | 952-808-7711
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Provider Business Mailing Address
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Address Line | 103 5TH AVENUE EAST
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City | SHAKOPEE
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State | MN
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Zip | 55379
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Country | US
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Telephone | 952-403-9563
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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 | 13292
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License Number State | MN
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