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General NPI Number Information
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NPI Number | 1881740116
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Entity Type | Individual
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Provider Name | JAMES ALAN HOFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1875 WOODWINDS DR SUITE 204
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City | WOODBURY
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State | MN
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Zip | 55125-2298
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Country | US
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Telephone | 651-686-4548
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Fax | 651-501-5843
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Provider Business Mailing Address
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Address Line | 4927 LAKE AVE
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-2626
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Country | US
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Telephone | 651-647-1624
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Fax | 651-647-0349
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 37142
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License Number State | MN
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