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General NPI Number Information
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NPI Number | 1134412430
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Entity Type | Individual
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Provider Name | RACHEL ELISABETH HOFER MS
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Gender | Female
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 4623 NW 53RD AVE
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City | GAINESVILLE
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State | FL
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Zip | 32653-4857
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Country | US
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Telephone | 352-577-8431
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 SW 76TH DR
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City | GAINESVILLE
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State | FL
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Zip | 32607-3381
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Country | US
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Telephone | 352-577-8431
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH 8985
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License Number State | FL
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