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General NPI Number Information
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NPI Number | 1225408974
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Entity Type | Organization
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Legal Business Name | HOFFMAN PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 3201 PIONEERS BLVD STE 218
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City | LINCOLN
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State | NE
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Zip | 68502-5963
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Country | US
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Telephone | 402-483-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 PIONEERS BLVD STE 218
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City | LINCOLN
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State | NE
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Zip | 68502-5963
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Country | US
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Telephone | 402-483-7900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TINA D HOFFMAN
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Credential | PHD
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Telephone | 402-202-7612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 877
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License Number State | NE
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