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General NPI Number Information
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NPI Number | 1497091029
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Entity Type | Individual
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Provider Name | PRECIOSA HOFFMANN
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Gender | Female
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Dates
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Enumeration Date | 01/01/2013
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 4001 PRINCE WILLIAM PKWY STE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7667
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Country | US
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Telephone | 703-792-7300
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Fax | 703-792-7311
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Provider Business Mailing Address
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Address Line | 4001 PRINCE WILLIAM PKWY STE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7667
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Country | US
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Telephone | 804-801-6922
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0008039
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202211777
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License Number State | VA
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