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General NPI Number Information
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NPI Number | 1326520818
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Entity Type | Individual
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Provider Name | LAURA HOESCHEN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 4195 WESTBERG RD
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City | HERMANTOWN
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State | MN
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Zip | 55811-2962
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Country | US
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Telephone | 218-216-9921
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 3RD AVE
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City | PROCTOR
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State | MN
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Zip | 55810-1232
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11158
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License Number State | MN
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