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General NPI Number Information
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NPI Number | 1477908416
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Entity Type | Organization
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Legal Business Name | HOFMAN CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 6510 LONETREE BLVD SUITE 200
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-872-1200
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Fax | 916-644-6024
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Provider Business Mailing Address
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Address Line | 6510 LONETREE BLVD SUITE 200
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-872-1200
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Fax | 916-644-6024
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Authorized Official
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Title or Position | VP
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Name | DR. HEATHER HOFMAN
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Credential | DC
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Telephone | 916-872-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32531
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32551
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License Number State | CA
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