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General NPI Number Information
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NPI Number | 1568528917
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Entity Type | Individual
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Provider Name | DEBRA ELLEN HOFFMAN RD CDE
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 142 JORDAN RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4466
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Country | US
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Telephone | 716-946-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 142 JORDAN RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4466
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Country | US
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Telephone | 716-632-0529
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Fax | 716-298-2054
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1546-1
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License Number State | NY
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