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General NPI Number Information
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NPI Number | 1801438643
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Entity Type | Individual
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Provider Name | GAIL KRISTINA HOFFART PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 12 N MAIN ST
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City | BOWMAN
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State | ND
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Zip | 58623-4022
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Country | US
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Telephone | 701-523-3233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 215
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City | SANBORN
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State | ND
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Zip | 58480-0215
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Country | US
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Telephone | 701-630-0779
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH6163
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License Number State | ND
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