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General NPI Number Information
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NPI Number | 1922194307
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Entity Type | Individual
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Provider Name | ROBERT JOHNSTON PINNER LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 2375 NORTHSIDE DR STE 150 MISSION HOME HEALTH
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City | SAN DIEGO
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State | CA
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Zip | 92108-0002
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Country | US
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Telephone | 619-387-6315
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Fax |
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Provider Business Mailing Address
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Address Line | 11055 OAK CREEK DR
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City | LAKESIDE
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State | CA
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Zip | 92040-1228
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Country | US
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Telephone | 619-390-0812
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4857
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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 | 987020
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS23514
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License Number State | CA
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