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General NPI Number Information
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NPI Number | 1902726698
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Entity Type | Organization
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Legal Business Name | HEIDI PINO PLLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 15640 N 7TH ST
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City | PHOENIX
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State | AZ
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Zip | 85022-3512
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Country | US
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Telephone | 623-288-4051
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Fax |
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Provider Business Mailing Address
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Address Line | 12061 N 53RD AVE
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City | GLENDALE
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State | AZ
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Zip | 85304-2708
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Country | US
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Telephone | 602-448-3955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI PINO
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Credential |
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Telephone | 602-448-3955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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