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General NPI Number Information
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NPI Number | 1902183874
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Entity Type | Individual
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Provider Name | CRISTY HOFFMAN PTA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 2837 AMERICAN ST STE A
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-595-0599
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Fax | 479-935-9875
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Provider Business Mailing Address
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Address Line | 2837 AMERICAN ST STE A
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City | SPRINGDALE
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State | AR
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Zip | 72764-6927
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Country | US
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Telephone | 479-530-9897
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Fax | 479-935-9875
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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 |
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License Number State | AR
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