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General NPI Number Information
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NPI Number | 1114873577
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Entity Type | Individual
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Provider Name | CAMEN HOFER
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 111 W JACKSON ST FL 3
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54495-2702
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Country | US
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Telephone | 715-421-8951
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W JACKSON ST FL 3
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54495-2702
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Country | US
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Telephone |
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-309118
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License Number State | WI
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