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General NPI Number Information
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NPI Number | 1881605848
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Entity Type | Individual
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Provider Name | ALLEN L HOFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 18411 CLARK ST SUITE 305
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City | TARZANA
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State | CA
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Zip | 91356-3506
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Country | US
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Telephone | 818-345-9600
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Fax | 818-345-9604
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Provider Business Mailing Address
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Address Line | 4922 ANDASOL AVE
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City | ENCINO
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State | CA
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Zip | 91316-3803
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G72104
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | G72104
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License Number State | CT
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