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General NPI Number Information
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NPI Number | 1962589002
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Entity Type | Individual
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Provider Name | JESSICA HOFFMAN NURSE PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 4790 E CAMP LOWELL DR
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City | TUCSON
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State | AZ
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Zip | 85712-1275
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Country | US
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Telephone | 520-319-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 E CAMP LOWELL DR
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City | TUCSON
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State | AZ
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Zip | 85712-1275
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Country | US
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Telephone | 520-319-5922
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | RN083524
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License Number State | AZ
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