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General NPI Number Information
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NPI Number | 1992786198
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Entity Type | Individual
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Provider Name | THERESA K HOFFMAN DO
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 10215 AUBURN PARK DR
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City | FORT WAYNE
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State | IN
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Zip | 46825-2387
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Country | US
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Telephone | 260-234-5400
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Fax | 260-234-5110
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Provider Business Mailing Address
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Address Line | 6920 POINTE INVERNESS WAY STE 200
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City | FORT WAYNE
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State | IN
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Zip | 46804-7934
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Country | US
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Telephone | 260-479-3516
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Fax | 260-479-3520
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02001618A
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License Number State | IN
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