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General NPI Number Information
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NPI Number | 1376641688
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Entity Type | Organization
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Legal Business Name | RONALD L HOSCHOUER INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 1700 LIVINGSTON AVE SUITE 215
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City | WEST ST PAUL
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State | MN
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Zip | 55118-5908
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Country | US
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Telephone | 651-688-2335
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Fax | 651-688-2669
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Provider Business Mailing Address
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Address Line | 1700 LIVINGSTON AVE SUITE 215
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City | WEST ST PAUL
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State | MN
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Zip | 55118-5908
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Country | US
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Telephone | 651-688-2335
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Fax | 651-688-2669
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. RONALD LESLIE HOSCHOUER
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Credential | PH.D.
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Telephone | 651-688-2335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP0817
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License Number State | MN
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