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NPI 1023011459

NPI 1023011459 : ANTHONY R HOFFMAN D.P.M. : SAN LEANDRO, CA

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General NPI Number Information
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    NPI Number           |    1023011459
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY R HOFFMAN D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    15035 E 14TH ST STE A 
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    City                 |    SAN LEANDRO
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    State                |    CA
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    Zip                  |    94578-1901
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    Country              |    US
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    Telephone            |    510-278-9350
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    Fax                  |    510-481-7490
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Provider Business Mailing Address
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    Address Line         |    20130 LAKE CHABOT RD STE 202 
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    City                 |    CASTRO VALLEY
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    State                |    CA
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    Zip                  |    94546-5340
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    Country              |    US
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    Telephone            |    510-278-9350
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    Fax                  |    510-481-7490
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    E4106
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    E4106
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    License Number State |    CA
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