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NPI Code Detail

MEDICARE: MRS. TONYA MARIE BAUHOFER MFC

MEDICARE: MRS. TONYA MARIE BAUHOFER MFC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC 41267CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000008462OTHERCAMEDI-CAL PROVIDER NUMBER

General Provider Information

NPI Number : 1720002314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TONYA MARIE BAUHOFER MFC
Provider Business Mailing Address
First Line : 2750 MOHAMMED LN
Second Line :
City : NEWCASTLE
State : CA
Zip : 95658-9644
Country : US
Telephone Number : 916-955-0707
Fax Number :
Provider Business Practice Location Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number : 916-344-0199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/03/2017

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