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General NPI Number Information
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NPI Number | 1396322582
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Entity Type | Organization
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Legal Business Name | RICHARD HOFFMAN
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 734 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-4800
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Country | US
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Telephone | 724-972-4627
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Fax | 724-972-4627
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Provider Business Mailing Address
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Address Line | 101 PEMBROKE CT # A
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City | GREENSBURG
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State | PA
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Zip | 15601-6404
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Country | US
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Telephone | 724-396-1510
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Fax | 724-972-4627
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Authorized Official
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Title or Position | PROJECT MANAGER AND ADMINISTRATOR
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Name | ALEX R HOFFMAN
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Credential |
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Telephone | 724-396-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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