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General NPI Number Information
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NPI Number | 1801814744
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Entity Type | Individual
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Provider Name | PENNY R TIMMEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST BUILDING 150, SCI/D
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-8000
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Fax | 562-826-5718
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Provider Business Mailing Address
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Address Line | 5901 E 7TH ST BUILDING 150, SCI/D
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-8000
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Fax | 562-826-5718
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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 | 992011
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License Number State | CO
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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 | 992011
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 992011
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 992011
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 992011
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 992011
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 992011
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 992011
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License Number State | CO
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Taxonomy #9
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 992011
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License Number State | CO
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