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General NPI Number Information
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NPI Number | 1982613246
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Entity Type | Individual
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Provider Name | ALYSSA R HOVERSON SCHOTT MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 625 DEMERS AVE
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City | EAST GRAND FORKS
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State | MN
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Zip | 56721-1833
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Country | US
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Telephone | 218-773-5858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 48913
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 40404
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 11319
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MN-48913
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License Number State | MN
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