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General NPI Number Information
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NPI Number | 1962911735
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Entity Type | Individual
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Provider Name | ANDREA WYNNE HOFFMAN MA, LMHC, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 7600 SW 57TH AVE STE 222
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5408
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Country | US
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Telephone | 305-978-8157
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 SW 33RD AVE
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City | MIAMI
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State | FL
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Zip | 33133-2806
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Country | US
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Telephone | 305-978-8157
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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 | MH11764
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License Number State | FL
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