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NPI 1134645310

NPI 1134645310 : RYAN PHILIP HOFFMAN O.D. : FLEMINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1134645310
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    Entity Type          |    Individual 
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    Provider Name        |    RYAN PHILIP HOFFMAN O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/18/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    6B MINNEAKONING RD 
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5760
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    Country              |    US
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    Telephone            |    908-824-7144
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6B MINNEAKONING RD 
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5760
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    Country              |    US
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    Telephone            |    908-824-7144
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    27OA00675700
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    27OA00675700
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    License Number State |    NJ
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