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General NPI Number Information
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NPI Number | 1134449234
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Entity Type | Individual
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Provider Name | ANDREW JOHN HOPPE D.D.S
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Gender | Male
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 3043 INTERNATIONAL GOLF PKWY
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-0032
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Country | US
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Telephone | 904-940-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 70 RIALTO DR
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City | PONTE VEDRA
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State | FL
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Zip | 32081-6118
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Country | US
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Telephone | 586-549-3206
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24759
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901020286
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License Number State | MI
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