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General NPI Number Information
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NPI Number | 1710197645
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Entity Type | Individual
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Provider Name | MICHAEL ROBERT HOFFMAN MSW, LCSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2673 TAKELMA WAY
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City | ASHLAND
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State | OR
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Zip | 97520-8613
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Country | US
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Telephone | 541-639-6246
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Fax |
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Provider Business Mailing Address
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Address Line | 2673 TAKELMA WAY
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City | ASHLAND
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State | OR
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Zip | 97520-8613
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Country | US
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Telephone | 541-639-6246
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60113465
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License Number State | WA
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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 | L6074
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License Number State | OR
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