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General NPI Number Information
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NPI Number | 1912040395
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Entity Type | Individual
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Provider Name | LARA WHITNEY HOFFMAN PA
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4800 N FEDERAL HWY STE 200
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4611
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Country | US
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Telephone | 954-887-2696
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Fax | 954-688-7294
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Provider Business Mailing Address
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Address Line | 4800 N FEDERAL HWY STE 200
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4611
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Country | US
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Telephone | 954-688-7269
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Fax | 954-688-7294
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9103896
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License Number State | FL
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