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General NPI Number Information
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NPI Number | 1770196891
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Entity Type | Organization
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Legal Business Name | THOMAS J HOEFFEL DDS PA
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 2819 HAMLINE AVE N STE 104
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City | ROSEVILLE
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State | MN
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Zip | 55113-7718
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Country | US
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Telephone | 651-631-9010
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Fax | 651-631-9011
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Provider Business Mailing Address
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Address Line | 2819 HAMLINE AVE N STE 104
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City | ROSEVILLE
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State | MN
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Zip | 55113-7718
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Country | US
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Telephone | 651-631-9010
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Fax | 651-631-9011
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Authorized Official
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Title or Position | DENTIST
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Name | DR. THOMAS JOSEPH HOEFFEL
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Credential | DDS
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Telephone | 651-631-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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