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General NPI Number Information
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NPI Number | 1710930714
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Entity Type | Individual
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Provider Name | BETTY J HENGELMANN P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 750 2ND ST NE SUITE 106
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City | HOPKINS
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State | MN
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Zip | 55343-8587
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Country | US
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Telephone | 952-936-9600
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Fax | 951-936-9536
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Provider Business Mailing Address
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Address Line | 7541 9TH ST N
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City | OAKDALE
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State | MN
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Zip | 55128-6626
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Country | US
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Telephone | 651-748-4338
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Fax | 651-748-2892
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1685
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License Number State | MN
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