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General NPI Number Information
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NPI Number | 1285652339
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Entity Type | Individual
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Provider Name | MARK S. HOFFRICHTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 604 SOLAREX CT SUITE 207
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City | FREDERICK
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State | MD
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Zip | 21703-7005
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Country | US
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Telephone | 301-695-5755
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Fax | 301-695-0550
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Provider Business Mailing Address
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Address Line | 604 SOLAREX CT SUITE 207
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City | FREDERICK
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State | MD
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Zip | 21703-7005
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Country | US
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Telephone | 301-695-5755
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Fax | 301-695-0550
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12580
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License Number State | MD
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