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General NPI Number Information
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NPI Number | 1285390757
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Entity Type | Organization
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Legal Business Name | ROSHANDA ROBERTS
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 10990 WILSHIRE BLVD STE 250
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City | LOS ANGELES
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State | CA
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Zip | 90024-3932
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Country | US
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Telephone | 424-262-8203
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Fax |
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Provider Business Mailing Address
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Address Line | 16045 WHITE MOUNTAIN PL
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City | VICTORVILLE
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State | CA
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Zip | 92394-6723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSHANDA ROBERTS
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Credential | LMFT
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Telephone | 323-383-7195
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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 |
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License Number State |
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