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General NPI Number Information
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NPI Number | 1255593075
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Entity Type | Organization
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Legal Business Name | S. DENISE HOFFMAN M.D. FAMILY MEDICINE
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 860 1ST AVE SUITE 4A
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-4033
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Country | US
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Telephone | 610-337-9997
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Fax | 610-265-1441
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Provider Business Mailing Address
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Address Line | 860 1ST AVE SUITE 4A
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-4033
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Country | US
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Telephone | 610-337-9997
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Fax | 610-265-1441
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Authorized Official
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Title or Position | PRESIDENT /PHYSICIAN
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Name | DR. SUSAN DENISE HOFFMAN
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Credential | M.D.
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Telephone | 610-337-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD044986L
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License Number State | PA
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