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General NPI Number Information
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NPI Number | 1871811653
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Entity Type | Organization
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Legal Business Name | HOEFT APPLIANCE CENTER
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 1430 COUNTY ROAD C W SUITE 100
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City | ROSEVILLE
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State | MN
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Zip | 55113-3165
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Country | US
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Telephone | 651-224-3866
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Fax | 651-224-3767
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Provider Business Mailing Address
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Address Line | 1430 COUNTY ROAD C W SUITE 100
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City | ROSEVILLE
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State | MN
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Zip | 55113-3165
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Country | US
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Telephone | 651-224-3866
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Fax | 651-224-3767
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES A THIERS
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Credential |
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Telephone | 651-224-3866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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