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General NPI Number Information
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NPI Number | 1578430047
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Entity Type | Organization
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Legal Business Name | HESED PSYCHOLOGICAL SERVICES OF MINNESOTA
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 316 BROADWAY ST STE 103
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City | ALEXANDRIA
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State | MN
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Zip | 56308-5261
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Country | US
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Telephone | 630-699-7499
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Fax |
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Provider Business Mailing Address
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Address Line | 1358 SANDCHERRY LN
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City | WEST CHICAGO
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State | IL
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Zip | 60185-5973
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Country | US
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Telephone | 630-699-7499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN PYYKKONEN
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Credential |
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Telephone | 630-699-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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