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General NPI Number Information
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NPI Number | 1912194192
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Entity Type | Individual
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Provider Name | AMANDA LYNN HOFFMAN N.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 518 NE COWLS ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-4802
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Country | US
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Telephone | 971-241-9647
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Fax |
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Provider Business Mailing Address
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Address Line | 518 NE COWLS ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-4802
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Country | US
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Telephone | 971-241-9647
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1685
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 6211
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License Number State | OR
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