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General NPI Number Information
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NPI Number | 1699911214
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Entity Type | Organization
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Legal Business Name | DARYL HOFFMAN RECONSTRUCTIVE
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 805 EL CAMINO REAL SUITE A
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City | PALO ALTO
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State | CA
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Zip | 94301-2315
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Country | US
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Telephone | 650-325-1118
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Fax | 650-321-8943
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Provider Business Mailing Address
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Address Line | 805 EL CAMINO REAL SUITE A
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City | PALO ALTO
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State | CA
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Zip | 94301-2315
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Country | US
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Telephone | 650-325-1118
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Fax | 650-325-5778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARYL KRISTAN HOFFMAN
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Credential | M.D.
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Telephone | 650-325-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | G059181
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License Number State | CA
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