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General NPI Number Information
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NPI Number | 1134206758
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Entity Type | Individual
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Provider Name | CHRISTINE E ROSLUND MFT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 110 LAFAYETTE CIR STE 200 22248 MAIN STREET, HAYWARD CA 94541
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City | LAFAYETTE
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State | CA
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Zip | 94549-4377
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Country | US
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Telephone | 510-520-2811
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Fax | 203-724-2811
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Provider Business Mailing Address
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Address Line | 1915 OAKVIEW DR
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City | OAKLAND
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State | CA
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Zip | 94602-1945
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Country | US
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Telephone | 510-520-2811
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Fax | 510-336-3417
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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 | MFC39100
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License Number State | CA
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