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General NPI Number Information
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NPI Number | 1356239685
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Entity Type | Individual
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Provider Name | ROBERT TODD SPRINGFIELD-SMITH SUDRC #20384
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 790 SONOMA AVE
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City | SANTA ROSA
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State | CA
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Zip | 95404-4713
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Country | US
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Telephone | 707-360-4405
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Fax |
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Provider Business Mailing Address
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Address Line | 1539 HUMBOLDT ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-2845
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Country | US
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Telephone | 707-387-2731
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20384
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License Number State | CA
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