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General NPI Number Information
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NPI Number | 1629575758
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Entity Type | Individual
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Provider Name | KRISTEN LEIGH HOFFMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 3699 WILSHIRE BLVD FL 3
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City | LOS ANGELES
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State | CA
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Zip | 90010-2718
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Country | US
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Telephone | 213-351-4521
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Fax | 213-351-4515
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Provider Business Mailing Address
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Address Line | 524 SOLWAY ST
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City | GLENDALE
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State | CA
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Zip | 91206-2922
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Country | US
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Telephone | 949-370-8639
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Fax | 818-956-1806
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW80559
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License Number State | CA
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