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General NPI Number Information
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NPI Number | 1497936306
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Entity Type | Organization
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Legal Business Name | BARRY J. HOFFMAN, PH.D., P.C.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 355 W NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60067-2414
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Country | US
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Telephone | 847-840-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E TOWNLINE RD SUITE 197
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City | VERNON HILLS
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State | IL
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Zip | 60061-1424
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Country | US
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Telephone | 847-840-3406
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARRY J. HOFFMAN
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Credential | PH.D.
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Telephone | 847-840-3406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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