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General NPI Number Information
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NPI Number | 1699596460
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Entity Type | Individual
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Provider Name | GEORGE SAMUEL HOFFMAN FNP
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Gender | Male
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 1360 BRICKYARD RD
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City | CHIPLEY
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State | FL
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Zip | 32428-6303
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Country | US
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Telephone | 850-415-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 4980 FLOWERS CHAPEL RD APT R131
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City | DOTHAN
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State | AL
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Zip | 36305-5322
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036167
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License Number State | FL
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