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General NPI Number Information
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NPI Number | 1992754881
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Entity Type | Individual
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Provider Name | GWEN HOFF LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 721 WASHINGTON AVE SUITE 300
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City | BAY CITY
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State | MI
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Zip | 48708-5729
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Country | US
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Telephone | 989-225-9185
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Fax | 989-894-0068
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Provider Business Mailing Address
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Address Line | 106 W IONIA ST
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City | BAY CITY
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State | MI
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Zip | 48706-5136
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Country | US
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Telephone | 989-493-0551
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Fax | 989-894-0068
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801013287
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License Number State | MI
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