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General NPI Number Information
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NPI Number | 1942733241
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Entity Type | Organization
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Legal Business Name | DAN HOFFMAN LCSW LLC
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 8546 W HOMOSASSA TRL SUITE 5
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City | HOMOSASSA
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State | FL
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Zip | 34448-2708
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Country | US
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Telephone | 352-601-3627
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Fax | 866-695-2930
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Provider Business Mailing Address
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Address Line | 21 HEMLOCK CT E
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City | HOMOSASSA
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State | FL
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Zip | 34446-5145
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Country | US
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Telephone | 352-601-3627
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Fax | 866-695-2930
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DANIEL HOFFMAN
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Credential | LCSW
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Telephone | 352-601-3627
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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 | SW7942
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License Number State | FL
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