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General NPI Number Information
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NPI Number | 1689533390
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Entity Type | Individual
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Provider Name | JILL MARIE DUFOE MS, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | LOT #7096 PO BOX 17370
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City | ST PAUL
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State | MN
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Zip | 55117
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Country | US
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Telephone | 612-701-4220
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Fax |
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Provider Business Mailing Address
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Address Line | LOT #7096 PO BOX 17370
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City | ST PAUL
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State | MN
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Zip | 55117
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA0469
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License Number State | MN
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