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General NPI Number Information
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NPI Number | 1821896010
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Entity Type | Individual
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Provider Name | ZACHARY BRANDON HOFFMAN
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 600 N US 1 UNIT 606A
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City | FORT PIERCE
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State | FL
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Zip | 34950-3072
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Country | US
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Telephone | 772-276-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 3034 SE WAKE RD
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-6349
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Country | US
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Telephone | 772-359-4085
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA33756
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License Number State | FL
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