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NPI 1659039063

NPI 1659039063 : CHRISTINE NOELLE HOFFMAN : NEWARK, DE

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General NPI Number Information
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    NPI Number           |    1659039063
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE NOELLE HOFFMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2021
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    Last Update Date     |    10/26/2022
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Provider Practice Location Address
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    Address Line         |    850 LIBRARY AVE STE 104 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19711-7170
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    Country              |    US
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    Telephone            |    302-724-6662
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    274 STONEWATER WAY 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19904-1553
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    Country              |    US
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    Telephone            |    302-562-3004
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    Q1-0011983
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    Q1-0011983
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    License Number State |    DE
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