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General NPI Number Information
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NPI Number | 1124837349
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Entity Type | Individual
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Provider Name | ROSE CARR AMFT
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 182 SAN GERONIMO VALLEY DR.
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City | WOODACRE
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State | CA
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Zip | 94973
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Country | US
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Telephone | 415-488-0454
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Fax |
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Provider Business Mailing Address
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Address Line | 142 8TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1211
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Country | US
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Telephone | 415-308-9729
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151168
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License Number State | CA
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