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General NPI Number Information
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NPI Number | 1790528792
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Entity Type | Individual
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Provider Name | TRINA HOFBAUER
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 10391 DOUBLE R BLVD
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City | RENO
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State | NV
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Zip | 89521-5991
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Country | US
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Telephone | 775-622-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 BLUE LAKES RD
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City | RENO
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State | NV
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Zip | 89523-1742
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Country | US
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Telephone |
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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 | IC-2324
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License Number State | NV
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