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General NPI Number Information
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NPI Number | 1497144042
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Entity Type | Individual
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Provider Name | JENNIFER PINSON MT-BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 6710 WAVERHILL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-9101
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Country | US
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Telephone | 317-442-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 7502 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-5510
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Country | US
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Telephone | 317-829-6654
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 201270180A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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