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NPI 1568429546

NPI 1568429546 : TROY J HOFMANN P.T., OCS, A.T.C. : MARLTON, NJ

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General NPI Number Information
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    NPI Number           |    1568429546
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    Entity Type          |    Individual 
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    Provider Name        |    TROY J HOFMANN P.T., OCS, A.T.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2006
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    Last Update Date     |    06/13/2023
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Provider Practice Location Address
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    Address Line         |    230 N MAPLE AVE 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-9400
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    Country              |    US
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    Telephone            |    856-904-7924
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    Fax                  |    856-866-1641
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Provider Business Mailing Address
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    Address Line         |    230 N MAPLE AVE STE B10 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-9423
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    Country              |    US
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    Telephone            |    856-904-7924
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    Fax                  |    856-396-2525
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    40QA00486300
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    License Number State |    NJ
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