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General NPI Number Information
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NPI Number | 1154684991
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Entity Type | Individual
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Provider Name | LISA HILLARY HOPF PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 100 MADISON AVE # LEVELC
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5900
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Fax | 973-290-7257
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Provider Business Mailing Address
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Address Line | 1264 PLEASANT VALLEY WAY
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1420
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Country | US
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Telephone | 201-602-0713
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NJ
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