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NPI 1922333632

NPI 1922333632 : GEOFFREY HOFFMAN LMP : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1922333632
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    Entity Type          |    Individual 
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    Provider Name        |    GEOFFREY HOFFMAN LMP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/14/2009
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    Last Update Date     |    10/14/2009
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Provider Practice Location Address
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    Address Line         |    301 E MCLOUGHLIN BLVD SUITE C
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98663-3366
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    Country              |    US
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    Telephone            |    360-772-6294
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    310 E. MCLOUGHLIN BLVD SUITE C
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98663
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    Country              |    US
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    Telephone            |    360-772-6294
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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        |    173C00000X
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    Taxonomy Name        |    Reflexologist
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    License Number       |    
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MA60113596
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    License Number State |    WA
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