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General NPI Number Information
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NPI Number | 1962217984
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Entity Type | Individual
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Provider Name | ANNETTE FRANCES HOFMANN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 21929 E 9 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2906
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Country | US
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Telephone | 586-213-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 233 BEAUPRE AVE
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-3401
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Country | US
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Telephone | 313-300-1286
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451024123
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License Number State | MI
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