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General NPI Number Information
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NPI Number | 1548247380
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Entity Type | Individual
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Provider Name | LARRY K HOFFMAN DO
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 7171 ROYALTON RD STE 201
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4818
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Country | US
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Telephone | 440-816-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 ROYALTON RD STE 201
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4818
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34-004346
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License Number State | OH
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