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General NPI Number Information
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NPI Number | 1245322718
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Entity Type | Individual
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Provider Name | SANDRA CAVICCHIOLI HOFFMEIER DDS
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 358 5TH AVE RM 406
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City | NEW YORK
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State | NY
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Zip | 10001-2228
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Country | US
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Telephone | 212-697-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W END AVE APT 2A
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City | NEW YORK
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State | NY
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Zip | 10023-3606
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Country | US
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Telephone | 212-794-8569
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 041970-1
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License Number State | NY
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