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General NPI Number Information
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NPI Number | 1013488618
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Entity Type | Individual
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Provider Name | MICHAEL GERARD HOFFMANN BSW, CADC-III, ICADC
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Gender | Male
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Dates
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Enumeration Date | 12/08/2018
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 11228 FAIR OAKS BLVD
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City | FAIR OAKS
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State | CA
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Zip | 95628-5139
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Country | US
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Telephone | 916-962-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 11228 FAIR OAKS BLVD
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City | FAIR OAKS
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State | CA
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Zip | 95628-5139
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Country | US
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Telephone | 916-962-2800
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | B001230819
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CI21340119
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | B001230819
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | B001230819
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | B001230819
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | B001230819
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License Number State | CA
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