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NPI 1336585405

NPI 1336585405 : ANDREW MARK HOFFMAN MA.,ED.S, LMFT : LIVINGSTON, NJ

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General NPI Number Information
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    NPI Number           |    1336585405
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW MARK HOFFMAN MA.,ED.S, LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/16/2013
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    Last Update Date     |    08/18/2015
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Provider Practice Location Address
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    Address Line         |    2 EAST NORTHFIELD ROAD SUITE 5
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039-9998
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    Country              |    US
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    Telephone            |    973-865-0506
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    69 MOUNTAIN AVE 
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    City                 |    WEST ORANGE
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    State                |    NJ
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    Zip                  |    07052-4955
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    Country              |    US
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    Telephone            |    973-865-0506
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    37F100175000
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    License Number State |    NJ
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