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NPI 1215640248

NPI 1215640248 : KATHRYN FRANCES HOFFMAN MS RD : HUNTINGTON, NY

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General NPI Number Information
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    NPI Number           |    1215640248
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN FRANCES HOFFMAN MS RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2023
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    Last Update Date     |    01/04/2023
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Provider Practice Location Address
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    Address Line         |    44 GREEN ST 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-3393
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    Country              |    US
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    Telephone            |    516-806-0045
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 PAUL PL 
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    City                 |    FARMINGDALE
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    State                |    NY
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    Zip                  |    11735-4418
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    Country              |    US
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    Telephone            |    302-650-8886
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    86053115
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    License Number State |    NY
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