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General NPI Number Information
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NPI Number | 1750611984
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Entity Type | Individual
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Provider Name | KERA LEIGH HOFF CSA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 201 W CENTER ST EI-01 SURGICAL ASSISTANTS
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City | ROCHESTER
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State | MN
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Zip | 55902-3003
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Country | US
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Telephone | 507-266-2827
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Fax | 507-266-1978
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Provider Business Mailing Address
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Address Line | 211 10TH AVE SE
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City | ROCHESTER
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State | MN
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Zip | 55904-4614
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Country | US
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Telephone | 507-993-1289
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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