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NPI 1386011856

NPI 1386011856 : REBECCA HOFFMAN LMSW : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1386011856
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA HOFFMAN LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2015
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    Last Update Date     |    04/04/2016
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Provider Practice Location Address
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    Address Line         |    25 FLATBUSH AVE 3RD FLOOR, RAINBOW HEIGHTS CLUB
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11217-1101
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    Country              |    US
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    Telephone            |    718-852-5217
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    Fax                  |    718-285-8610
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Provider Business Mailing Address
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    Address Line         |    25 FLATBUSH AVE 3RD FLOOR
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11217-1101
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    Country              |    US
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    Telephone            |    718-852-5217
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    Fax                  |    718-285-8610
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    061018-1
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    License Number State |    NY
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