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General NPI Number Information
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NPI Number | 1902420987
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Entity Type | Individual
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Provider Name | ALISHA HOFFMAN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 4542 BECKLEY RD
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City | BATTLE CREEK
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State | MI
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Zip | 49015-7941
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Country | US
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Telephone | 269-979-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 313 DEVON RD
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4048
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Country | US
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Telephone | 989-295-9490
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901600515APP20
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License Number State | MI
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