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General NPI Number Information
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NPI Number | 1194798785
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Entity Type | Individual
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Provider Name | LEWIS HOFMANN
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | WHITE HOUSE MEDICAL UNIT THE WHITE HOUSE
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City | WASHINGTON
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State | DC
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Zip | 20502-0001
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Country | US
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Telephone | 202-757-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 2427 KEMPER RD
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City | CROFTON
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State | MD
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Zip | 21114-2552
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-043-647-L
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License Number State | PA
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