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General NPI Number Information
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NPI Number | 1780757559
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Entity Type | Individual
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Provider Name | BARBARA HOFMANN PHD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 650 E BIG BEAVER RD STE A
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City | TROY
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State | MI
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Zip | 48083-1432
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Country | US
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Telephone | 248-761-1411
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Fax | 248-519-1201
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Provider Business Mailing Address
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Address Line | 650 E BIG BEAVER RD STE A
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City | TROY
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State | MI
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Zip | 48083-1432
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Country | US
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Telephone | 248-761-1411
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Fax | 248-519-1201
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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