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General NPI Number Information
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NPI Number | 1417105388
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Entity Type | Organization
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Legal Business Name | SANDRA J. HOFFMAN, ED.D., PC
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 1700 17TH ST NW SUITE 201
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City | WASHINGTON
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State | DC
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Zip | 20009-2453
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Country | US
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Telephone | 202-328-2283
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Fax | 202-328-2189
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Provider Business Mailing Address
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Address Line | 10815 LUXBERRY DR
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-5505
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Country | US
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Telephone | 301-816-0202
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Fax | 202-328-2189
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA J. HOFFMAN
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Credential | ED.D.
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Telephone | 301-816-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1314
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License Number State | DC
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