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General NPI Number Information
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NPI Number | 1821324757
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Entity Type | Individual
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Provider Name | JULIE M HOFMANN LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 600 PARK AVE
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City | ROCHESTER
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State | NY
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Zip | 14607-2926
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Country | US
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Telephone | 585-902-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 57 CHIPPENHAM DR
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City | PENFIELD
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State | NY
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Zip | 14526-1968
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Country | US
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Telephone | 585-737-5490
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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 | 0746451
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License Number State | NY
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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 | 074645-01
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License Number State | NY
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