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General NPI Number Information
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NPI Number | 1275561995
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Entity Type | Individual
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Provider Name | MS. KATHLEEN MARY HOFFMAN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 340 MAPLE ST STE 400
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City | MARLBOROUGH
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State | MA
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Zip | 01752-3200
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Country | US
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Telephone | 774-420-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 86 BALDWIN AVE
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1349
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Country | US
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Telephone | 508-251-0156
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Fax | 508-303-0008
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 183925PC
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License Number State | MA
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