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General NPI Number Information
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NPI Number | 1104023142
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Entity Type | Individual
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Provider Name | SETH ALAN HOFFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE. DEPT OF NEUROSURGERY, UNIV HOSPITALS OF CLEVELAND
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-3004
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Fax | 216-844-3014
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE 3RD FLOOR
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City | EUCLID
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State | OH
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Zip | 44117-1714
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | TRAINING LICENSE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 35.093981
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35.093981
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License Number State | OH
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