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General NPI Number Information
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NPI Number | 1255221214
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Entity Type | Individual
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Provider Name | HAFSA ISADIN AHMED
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 18771 ENGLISH AVE
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City | FARMINGTON
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State | MN
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Zip | 55024-8964
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Country | US
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Telephone | 612-346-1759
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Fax |
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Provider Business Mailing Address
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Address Line | 600 TWELVE OAKS CENTER DR STE 648A
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City | WAYZATA
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State | MN
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Zip | 55391-4544
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Country | US
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Telephone | 651-208-9451
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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 | 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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