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General NPI Number Information
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NPI Number | 1851598510
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Entity Type | Individual
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Provider Name | MATTHEW HENRY HOEFER DO
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NAVAL AEROSPACE MEDICAL INSTITUTE- CODE 33 340 HULSE ROAD
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City | PENSACOLA
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State | FL
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Zip | 32508
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Country | US
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Telephone | 850-452-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 STENNIS DR
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City | PENSACOLA
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State | FL
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Zip | 32506-2931
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Country | US
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Telephone | 706-993-5969
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 02003151A
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License Number State | IN
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