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NPI 1659308229

NPI 1659308229 : JAN M HOFFMAN MD : NEWTON, KS

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General NPI Number Information
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    NPI Number           |    1659308229
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    Entity Type          |    Individual 
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    Provider Name        |    JAN M HOFFMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/27/2006
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    Last Update Date     |    09/24/2013
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Provider Practice Location Address
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    Address Line         |    700 MEDICAL CENTER DR SUITE 140
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    City                 |    NEWTON
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    State                |    KS
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    Zip                  |    67114-9013
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    Country              |    US
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    Telephone            |    316-804-6100
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    Fax                  |    316-804-6123
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Provider Business Mailing Address
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    Address Line         |    4128 N PLUM TREE ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67226-3341
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    Country              |    US
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    Telephone            |    316-804-6100
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    Fax                  |    316-804-6123
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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        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    25347
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    License Number State |    KS
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