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General NPI Number Information
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NPI Number | 1689682155
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Entity Type | Organization
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Legal Business Name | ANN E BOEKHOFF MA LP PA
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 91 N SNELLING AVE STE 200
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City | ST PAUL
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State | MN
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Zip | 55104-6756
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Country | US
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Telephone | 651-647-3492
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Fax | 651-641-1074
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Provider Business Mailing Address
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Address Line | 91 N SNELLING AVE STE 200
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City | ST PAUL
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State | MN
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Zip | 55104-6756
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Country | US
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Telephone | 651-647-3492
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Fax | 651-641-1074
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Authorized Official
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Title or Position | OWNER SOLE PROPRIETOR
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Name | MS. ANN ELIZABETH BOEKHOFF
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Credential | MA LP LMFT
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Telephone | 651-647-3492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP1197
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 334
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License Number State | MN
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