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General NPI Number Information
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NPI Number | 1982078614
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Entity Type | Organization
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Legal Business Name | RANDALL E HOFF DDS MS
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 1895 ORANGE TREE LN SUITE 203
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City | REDLANDS
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State | CA
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Zip | 92374-0111
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Country | US
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Telephone | 909-307-5353
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Fax | 909-307-5388
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Provider Business Mailing Address
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Address Line | 1895 ORANGE TREE LN SUITE 203
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City | REDLANDS
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State | CA
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Zip | 92374-0111
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Country | US
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Telephone | 909-307-5353
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Fax | 909-307-5388
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDALL EUGENE HOFF
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Credential | DDS MS
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Telephone | 909-307-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 31927
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License Number State | CA
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