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General NPI Number Information
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NPI Number | 1104868504
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Entity Type | Individual
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Provider Name | CAROLYN ANNETTE HOFER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1410 E IRON AVE SUITE 1
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City | SALINA
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State | KS
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Zip | 67401-3284
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Country | US
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Telephone | 785-826-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 41 N 170TH RD
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City | SALINA
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State | KS
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Zip | 67401-9265
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Country | US
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Telephone | 785-488-3733
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04-23978
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 04-23978
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License Number State | KS
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