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General NPI Number Information
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NPI Number | 1730162470
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Entity Type | Individual
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Provider Name | JUDY LYNN HOFFMAN N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 4413 US HIGHWAY 331 S
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-6307
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Country | US
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Telephone | 850-920-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 6097 SONNY LN
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City | CRESTVIEW
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State | FL
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Zip | 32539-8658
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Country | US
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Telephone | 770-617-1182
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11025236
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN169860
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 715359
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License Number State | TX
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