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General NPI Number Information
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NPI Number | 1578427688
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Entity Type | Individual
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Provider Name | ADAR KAMHOLTZ-ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location 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 | 847-708-0539
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 WARD ST
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City | BERKELEY
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State | CA
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Zip | 94705-1016
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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 |
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC21160
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT159584
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License Number State | CA
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