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NPI 1700677655

NPI 1700677655 : AMRAN ALI : HOPKINS, MN

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General NPI Number Information
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    NPI Number           |    1700677655
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMRAN ALI 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    150 TYLER AVE N STE 235 
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    City                 |    HOPKINS
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    State                |    MN
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    Zip                  |    55343-8582
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    Country              |    US
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    Telephone            |    763-318-4660
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    150 TYLER AVE N STE 235 
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    City                 |    HOPKINS
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    State                |    MN
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    Zip                  |    55343-8582
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    Country              |    US
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    Telephone            |    763-318-4660
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BCBA LBA
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    Name                 |     AMRAN  ALI 
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    Credential           |    
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    Telephone            |    763-318-4660
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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       |    
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    License Number State |    
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