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General NPI Number Information
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NPI Number | 1801682018
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Entity Type | Individual
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Provider Name | JAMES HOFFMAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 56 WEST 761ST TANK BATTALION AVENUE
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-287-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 136 761ST TANK BATTALION AVE. BLDG 136 STE MR001 PMB16
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City | FORT CAVAZOS
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State | TX
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Zip | 76544-5041
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Country | US
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Telephone | 321-412-3319
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1232203
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License Number State | HI
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