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General NPI Number Information
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NPI Number | 1265008338
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Entity Type | Individual
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Provider Name | HOLLIE RACHELL ROPER LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/31/2021
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 411 29TH ST UNIT 406
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City | OAKLAND
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State | CA
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Zip | 94609-3661
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Country | US
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Telephone | 801-857-7358
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Fax |
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Provider Business Mailing Address
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Address Line | 411 29TH ST UNIT 406
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City | OAKLAND
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State | CA
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Zip | 94609-3661
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Country | US
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Telephone | 801-857-7358
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC20328
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT151385
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License Number State | CA
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