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General NPI Number Information
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NPI Number | 1700863362
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Entity Type | Individual
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Provider Name | MARY L HOFF PA
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Gender | Female
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Dates
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Enumeration Date | 12/26/2005
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 820 5TH ST N
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City | CARRINGTON
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State | ND
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Zip | 58421
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Country | US
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Telephone | 701-652-2515
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Fax | 701-652-2846
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Provider Business Mailing Address
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Address Line | 820 5TH ST N PO BOX 79
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City | CARRINGTON
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State | ND
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Zip | 58421-1223
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Country | US
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Telephone | 701-652-2515
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Fax | 701-652-2846
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PAC0135
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC0135
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License Number State | ND
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