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NPI 1740455302

NPI 1740455302 : LARRY WAYNE HOFF PA : APPOMATTOX, VA

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General NPI Number Information
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    NPI Number           |    1740455302
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    Entity Type          |    Individual 
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    Provider Name        |    LARRY WAYNE HOFF PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/24/2008
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    624 JONES ST 
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    City                 |    APPOMATTOX
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    State                |    VA
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    Zip                  |    24522-4031
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    Country              |    US
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    Telephone            |    434-263-4000
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    Fax                  |    434-263-4160
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Provider Business Mailing Address
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    Address Line         |    4038 THOMAS NELSON HWY 
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    City                 |    ARRINGTON
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    State                |    VA
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    Zip                  |    22922-2302
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    Country              |    US
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    Telephone            |    434-263-4000
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    Fax                  |    434-263-4160
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0110009789
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA0000001218
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PAC0824
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    License Number State |    ND
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