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General NPI Number Information
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NPI Number | 1437701109
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Entity Type | Individual
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Provider Name | ANNA HOFFMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 301 S BEDFORD ST STE 1
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City | MADISON
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State | WI
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Zip | 53703-3691
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Country | US
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Telephone | 608-205-8027
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221
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City | WAUNAKEE
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State | WI
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Zip | 53597-0221
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3784-57
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 31059
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License Number State | CA
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