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General NPI Number Information
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NPI Number | 1891913521
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Entity Type | Individual
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Provider Name | JOY ANITA HOFBAUER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 496 WHITE SPRUCE BLVD
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City | ROCHESTER
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State | NY
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Zip | 14623-1608
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Country | US
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Telephone | 585-246-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 22 N WILMARTH RD
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City | PITTSFORD
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State | NY
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Zip | 14534-9775
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Country | US
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Telephone | 585-381-4138
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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 | R026401-1
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License Number State | NY
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