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General NPI Number Information
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NPI Number | 1518647593
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Entity Type | Individual
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Provider Name | LYNDSAY TAYLER HOFFMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 21 W RAND RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-3132
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Country | US
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Telephone | 310-995-5293
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S WILSHIRE LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-6741
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Country | US
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Telephone | 310-995-5293
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 209027493
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License Number State | IL
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