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General NPI Number Information
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NPI Number | 1275011330
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Entity Type | Individual
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Provider Name | ERICA LEIA HOFFMAN M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | PRIDE OF JUDEA COMMUNITY SERVICES 243-02 NORTHERN BLVD.
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City | DOUGLASTON
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State | NY
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Zip | 11362
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Country | US
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Telephone | 718-423-6200
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Fax | 718-423-9762
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Provider Business Mailing Address
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Address Line | 1008 RHINELANDER AVE APT 4
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City | BRONX
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State | NY
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Zip | 10462-3140
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Country | US
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Telephone | 216-650-2705
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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