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General NPI Number Information
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NPI Number | 1760793251
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Entity Type | Individual
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Provider Name | ANDREW DAVID HOFFMAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 203 N MAIN ST
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City | HICKSVILLE
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State | OH
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Zip | 43526-1120
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Country | US
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Telephone | 419-542-7741
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Fax | 419-542-7742
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Provider Business Mailing Address
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Address Line | 203 N MAIN ST
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City | HICKSVILLE
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State | OH
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Zip | 43526-1120
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Country | US
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Telephone | 419-542-7741
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Fax | 419-542-7742
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003633A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6006 T2921
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License Number State | OH
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