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NPI 1508348731

NPI 1508348731 : GLORIA RACHEL JOFFE MA, MFT : GERMANTOWN, TN

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General NPI Number Information
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    NPI Number           |    1508348731
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    Entity Type          |    Individual 
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    Provider Name        |    GLORIA RACHEL JOFFE MA, MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2018
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    Last Update Date     |    09/04/2018
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Provider Practice Location Address
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    Address Line         |    8570 CORDES CIR STE 12 
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    City                 |    GERMANTOWN
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    State                |    TN
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    Zip                  |    38139-3341
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    Country              |    US
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    Telephone            |    901-494-9645
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8570 CORDES CIR STE 12 
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    City                 |    GERMANTOWN
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    State                |    TN
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    Zip                  |    38139-3341
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    Country              |    US
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    Telephone            |    901-494-9645
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    1441
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    License Number State |    TN
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