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General NPI Number Information
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NPI Number | 1154137677
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Entity Type | Individual
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Provider Name | NICHOLAS JAMES HOFMEISTER DPT
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4960 BOILING BROOK PKWY
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-2300
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Country | US
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Telephone | 240-541-5241
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 OSBORN DR
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City | SILVER SPRING
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State | MD
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Zip | 20910-1323
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Country | US
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Telephone | 317-508-8443
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30208
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License Number State | MD
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