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General NPI Number Information
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NPI Number | 1043990674
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Entity Type | Individual
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Provider Name | BRIANNA HOFFMAN
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1517 HIGHWAY 13 E
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City | BURNSVILLE
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State | MN
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Zip | 55337-2917
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Country | US
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Telephone | 612-756-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 43 MONICO CIR
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City | COTTONWOOD
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State | MN
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Zip | 56229-4501
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Country | US
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Telephone | 507-829-9311
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 460A
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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