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General NPI Number Information
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NPI Number | 1902379324
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Entity Type | Individual
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Provider Name | RENA ABIGAIL HOFFMAN MUNSTER L. AC.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1034 S BRENTWOOD BLVD STE 1601
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1216
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Country | US
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Telephone | 240-360-1712
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Fax |
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Provider Business Mailing Address
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Address Line | 9248 OLD BONHOMME RD
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City | OLIVETTE
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State | MO
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Zip | 63132-4323
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Country | US
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Telephone | 314-609-4143
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2021036431
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License Number State | MO
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