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General NPI Number Information
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NPI Number | 1396830758
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Entity Type | Individual
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Provider Name | PENNY SUE GIESBRECHT PSY.D., L.P.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 521 TANGLEWOOD DRIVE
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City | SHOREVIEW
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State | MN
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Zip | 55126
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Country | US
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Telephone | 651-486-0122
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Fax | 651-481-8661
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Provider Business Mailing Address
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Address Line | 410 HARRIET CIRCLE
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City | SHOREVIEW
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State | MN
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Zip | 55126
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Country | US
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Telephone | 651-486-0122
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Fax | 651-481-8661
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP3788
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License Number State | MN
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