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General NPI Number Information
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NPI Number | 1447451935
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Entity Type | Individual
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Provider Name | TODD JAY HOFELING M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3883 AIRWAY DR STE 130
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City | SANTA ROSA
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State | CA
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Zip | 95403
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Country | US
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Telephone | 707-521-7799
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Fax | 707-573-5429
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Provider Business Mailing Address
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Address Line | 2350 W EL CAMINO REAL FL 2
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-6203
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Country | US
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Telephone | 707-521-7799
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Fax | 707-573-5429
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 76487
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 70347
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A112651
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License Number State | CA
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