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General NPI Number Information
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NPI Number | 1568603561
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Entity Type | Individual
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Provider Name | JANE ROSCHMANN LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 2030 E 4TH ST SUITE # 158
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City | SANTA ANA
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State | CA
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Zip | 92705-3940
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Country | US
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Telephone | 714-667-2341
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Fax | 714-667-2345
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Provider Business Mailing Address
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Address Line | 2030 E 4TH ST SUITE # 158
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City | SANTA ANA
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State | CA
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Zip | 92705-3940
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Country | US
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Telephone | 714-667-2341
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Fax | 714-667-2345
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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 | MFC14247
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License Number State | CA
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