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NPI 1225548647

NPI 1225548647 : LAURA JO HOFFERBER APRN : ENID, OK

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General NPI Number Information
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    NPI Number           |    1225548647
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA JO HOFFERBER APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2017
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    305 S 5TH ST 
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    City                 |    ENID
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    State                |    OK
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    Zip                  |    73701-5832
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    Country              |    US
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    Telephone            |    580-548-5010
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    Fax                  |    580-548-5012
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Provider Business Mailing Address
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    Address Line         |    4423 E WHEAT CAPITAL RD 
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    City                 |    ENID
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    State                |    OK
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    Zip                  |    73701-8536
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    Country              |    US
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    Telephone            |    405-310-0836
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    Fax                  |    405-758-5582
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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Taxonomy #4
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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Taxonomy #5
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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Taxonomy #6
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    83113
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    License Number State |    OK
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