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General NPI Number Information
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NPI Number | 1700805983
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Entity Type | Organization
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Legal Business Name | LOUIS HOFFMAN MD PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 26711 WOODWARD AVE SUITE LL3
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1333
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Country | US
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Telephone | 248-399-1434
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Fax | 248-399-1434
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Provider Business Mailing Address
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Address Line | 26711 WOODWARD AVE SUITE LL3
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1333
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Country | US
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Telephone | 248-399-1434
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Fax | 248-399-1434
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Authorized Official
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Title or Position | MANAGING AGENT-OWNER
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Name | LOUIS HOFFMAN
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Credential | MD
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Telephone | 248-399-1434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301019514
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License Number State | MI
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