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General NPI Number Information
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NPI Number | 1912997628
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Entity Type | Individual
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Provider Name | THOMAS NATHAN HOFFMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 3851 ROGER BROOKE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78234-4501
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Country | US
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Telephone | 210-916-0797
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Fax | 210-916-5222
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Provider Business Mailing Address
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Address Line | 215 NORTHRIDGE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2942
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Country | US
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Telephone | 210-701-8453
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR 4634
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD 13788
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License Number State | HI
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