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General NPI Number Information
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NPI Number | 1336057686
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Entity Type | Organization
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Legal Business Name | HOPE REIMAGINED
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 431 30TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-3307
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Country | US
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Telephone | 510-712-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 5529 MARSHALL ST
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City | OAKLAND
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State | CA
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Zip | 94608-2613
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Country | US
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Telephone | 510-712-2508
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SUSAN P ANDRIEN
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Credential |
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Telephone | 510-712-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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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 |
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License Number State | NULL
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