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General NPI Number Information
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NPI Number | 1760660443
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Entity Type | Individual
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Provider Name | FRANCISCO AVERHOFF
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Gender | Male
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 39 EAST AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-4003
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Country | US
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Telephone | 401-722-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 GALAHAD DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-3660
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036336
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License Number State | GA
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