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General NPI Number Information
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NPI Number | 1538272224
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Entity Type | Individual
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Provider Name | KAREN MARIE HOFFMANN-DISTAD FNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 1324 5TH ST N
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City | NEW ULM
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State | MN
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Zip | 56073-1514
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Country | US
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Telephone | 507-233-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 119 EAST 3RD AVE
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City | FRANKLIN
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State | MN
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Zip | 55333
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Country | US
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Telephone | 507-557-2834
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R 1284773
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0505
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License Number State | MN
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