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General NPI Number Information
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NPI Number | 1053642132
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Entity Type | Organization
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Legal Business Name | BRUCE R HOFFEN MD PA
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 515 W STATE ROAD 434 STE 205
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City | LONGWOOD
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State | FL
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Zip | 32750-5138
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Country | US
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Telephone | 407-332-5141
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Fax | 407-332-6819
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Provider Business Mailing Address
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Address Line | 515 W STATE ROAD 434 STE 205
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City | LONGWOOD
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State | FL
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Zip | 32750-5138
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Country | US
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Telephone | 407-332-5141
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Fax | 407-332-6819
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE R. HOFFEN
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Credential | M.D.
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Telephone | 407-332-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME64419
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License Number State | FL
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