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General NPI Number Information
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NPI Number | 1053307231
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Entity Type | Organization
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Legal Business Name | HOFIUS SURGICAL, INC.
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 217 N JEFFERSON ST SUITE B
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City | NEW CASTLE
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State | PA
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Zip | 16101-2271
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Country | US
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Telephone | 724-654-3010
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Fax | 724-654-3037
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Provider Business Mailing Address
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Address Line | 217 N JEFFERSON ST SUITE B
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City | NEW CASTLE
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State | PA
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Zip | 16101-2271
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Country | US
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Telephone | 724-654-3010
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Fax | 724-654-3037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID RANDALL HOFIUS
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Credential | D.O.
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Telephone | 724-654-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS0008334L
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License Number State | PA
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