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General NPI Number Information
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NPI Number | 1891440244
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Entity Type | Organization
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Legal Business Name | HOFFMAN CLINICAL SOCIAL WORK, PLLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | C/O NORTHWEST REGISTERED AGENT, LLC 5900 BALCONES DRIVE, SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 713-396-3185
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Fax |
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Provider Business Mailing Address
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Address Line | C/O NORTHWEST REGISTERED AGENT, LLC 5900 BALCONES DRIVE, SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 713-396-3185
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH HOFFMAN
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Credential |
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Telephone | 713-396-3185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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