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General NPI Number Information
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NPI Number | 1205128139
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Entity Type | Organization
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Legal Business Name | PAUL A HOFFMAN OD
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 2540 MAYSVILLE PIKE
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City | ZANESVILLE
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State | OH
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Zip | 43701-7561
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Country | US
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Telephone | 740-450-2733
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Fax | 740-450-8043
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Provider Business Mailing Address
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Address Line | PO BOX 1830
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City | ZANESVILLE
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State | OH
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Zip | 43702-1830
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Country | US
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Telephone | 740-450-2733
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Fax | 740-450-8043
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL A HOFFMAN
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Credential |
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Telephone | 740-450-2733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 152W00000X
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 152W00000X
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License Number State | OH
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