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General NPI Number Information
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NPI Number | 1144996349
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL HOFFMAN
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 302 W LAKE ST
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City | FRIENDSHIP
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State | WI
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Zip | 53934-9698
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Country | US
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Telephone | 800-942-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 475 TESSERVILLE RD
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City | NEKOOSA
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State | WI
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Zip | 54457-7508
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Country | US
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Telephone | 715-697-3007
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11023-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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