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General NPI Number Information
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NPI Number | 1487194858
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Entity Type | Individual
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Provider Name | JARED EDWARD HOFSESS HAS
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Gender | Male
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 888 BOARDMAN CANFIELD RD SUITE B
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City | BOARDMAN
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State | OH
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Zip | 44512-4276
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Country | US
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Telephone | 330-726-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 7019 SOUTHBERRY HL
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City | CANFIELD
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State | OH
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Zip | 44406-8176
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Country | US
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Telephone | 330-402-8063
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 03325
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License Number State | OH
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