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General NPI Number Information
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NPI Number | 1447691936
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL HOFFMAN D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 1821 WESTINGHOUSE ROAD SUITE 1130
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City | GEORGETOWN
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State | TX
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Zip | 78626
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Country | US
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Telephone | 512-843-2441
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Fax | 512-843-2442
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Provider Business Mailing Address
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Address Line | 1821 WESTINGHOUSE ROAD SUITE 1130
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City | GEORGETOWN
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State | TX
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Zip | 78626
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Country | US
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Telephone | 512-843-2441
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Fax | 512-843-2442
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 29160
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License Number State | TX
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