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General NPI Number Information
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NPI Number | 1538351705
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Entity Type | Individual
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Provider Name | TAWNYA IRENE HOFFMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 16911 WILLOW GLEN ROAD
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City | BROWNSVILLE
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State | CA
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Zip | 95919-0609
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Country | US
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Telephone | 530-675-0466
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Fax | 530-675-0530
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Provider Business Mailing Address
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Address Line | 10470 OLD PLACERVILLE RD SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2539
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Country | US
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Telephone | 800-470-0071
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA19295
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License Number State | CA
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