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General NPI Number Information
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NPI Number | 1073226619
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Entity Type | Individual
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Provider Name | JENNIFER L HOFFMAN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 204 COOK RD
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City | LEBANON
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State | OH
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Zip | 45036-9600
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Country | US
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Telephone | 513-751-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 675 N UNIVERSITY BLVD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-3355
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Country | US
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Telephone | 513-427-0444
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 162047
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 190171
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License Number State | OH
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