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General NPI Number Information
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NPI Number | 1114708310
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Entity Type | Individual
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Provider Name | HAFSA MOHAMED ALI
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 9340 JAMES AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-2317
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Country | US
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Telephone | 612-226-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 CALIFORNIA ST NE APT 417
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3397
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Country | US
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Telephone | 763-346-1278
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1559694500024
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License Number State | MN
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