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General NPI Number Information
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NPI Number | 1073433488
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Entity Type | Individual
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Provider Name | ANNELISE HOFMANN
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Gender | Female
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 134 N 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3296
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Country | US
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Telephone | 646-450-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 SEVERN RD
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1946
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Country | US
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Telephone | 313-409-4930
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 132024-01
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License Number State | NY
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