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General NPI Number Information
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NPI Number | 1437948668
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Entity Type | Individual
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Provider Name | ZIVANA HOFFSTETTER
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2430 COUNTY ROAD 210 W
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City | ST JOHNS
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State | FL
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Zip | 32259-2451
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Country | US
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Telephone | 904-717-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 279 SAINT KITTS LOOP
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-1181
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Country | US
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Telephone | 904-505-7341
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT13421
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License Number State | FL
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