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NPI 1457877524

NPI 1457877524 : ALLYSON HOFFMAN CNP : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1457877524
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    Entity Type          |    Individual 
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    Provider Name        |    ALLYSON HOFFMAN CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2017
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    Last Update Date     |    11/20/2018
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Provider Practice Location Address
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    Address Line         |    9500 EUCLID AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44195-0001
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    Country              |    US
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    Telephone            |    770-377-9964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11820 EDGEWATER DR APT T11 
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    City                 |    LAKEWOOD
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    State                |    OH
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    Zip                  |    44107-1797
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    Country              |    US
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    Telephone            |    
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    APRN.CNP.021563
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    License Number State |    OH
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