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General NPI Number Information
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NPI Number | 1619927407
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Entity Type | Individual
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Provider Name | STUART M. HOFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 214 CORNELIA ST SUITE 102
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2317
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Country | US
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Telephone | 518-561-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 11160 VERISMO ST
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City | LAS VEGAS
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State | NV
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Zip | 89141-3442
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Country | US
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Telephone | 702-768-6881
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9758
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 254284
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 47994
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 129128
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License Number State | CA
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