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General NPI Number Information
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NPI Number | 1609390798
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Entity Type | Individual
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Provider Name | ROXANNE SHERRILL ORAVETZ M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1100 MELODY LN STE 103
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City | ROSEVILLE
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State | CA
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Zip | 95678-5204
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Country | US
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Telephone | 916-899-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 7671 32ND ST
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City | ANTELOPE
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State | CA
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Zip | 95843-1901
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Country | US
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Telephone | 916-899-0656
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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 | 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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