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General NPI Number Information
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NPI Number | 1245429992
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Entity Type | Organization
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Legal Business Name | HOFFMAN PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 5100 S CLYDE MORRIS BLVD SUITE 200
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City | PORT ORANGE
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State | FL
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Zip | 32127-2911
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Country | US
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Telephone | 386-304-8112
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Fax | 386-304-8014
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Provider Business Mailing Address
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Address Line | 5100 S CLYDE MORRIS BLVD SUITE 200
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City | PORT ORANGE
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State | FL
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Zip | 32127-2911
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Country | US
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Telephone | 386-304-8112
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Fax | 386-304-8014
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | ADAM M HOFFMAN
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Credential | PT
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Telephone | 386-304-8112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT22239
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License Number State | FL
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