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General NPI Number Information
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NPI Number | 1982816146
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Entity Type | Organization
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Legal Business Name | SCOTT A. HOFFMAN, DDS INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 825 OAK GROVE AVE. SUITE # 301
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 650-325-1332
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Fax | 650-325-4376
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Provider Business Mailing Address
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Address Line | 825 OAK GROVE AVE. SUITE # 301
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 650-325-1332
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Fax | 650-325-4376
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT A HOFFMAN
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Credential | DDS
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Telephone | 650-325-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28717
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License Number State | CA
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