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General NPI Number Information
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NPI Number | 1730067158
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Entity Type | Individual
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Provider Name | ROSE LETKEMANN MS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 227 S HALCYON RD STE 101
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3174
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Country | US
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Telephone | 805-801-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 EILEEN AVE
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City | SANGER
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State | CA
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Zip | 93657-3846
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Country | US
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Telephone | 559-931-3465
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 156298
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License Number State | CA
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