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General NPI Number Information
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NPI Number | 1891711818
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Entity Type | Individual
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Provider Name | ROBERTA SAUNDERS M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 AVRAM AVE 104A
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City | ROHNERT PARK
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State | CA
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Zip | 94928-3158
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Country | US
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Telephone | 707-829-8373
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Fax | 707-823-9435
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Provider Business Mailing Address
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Address Line | 7180 EVAN AVE
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4424
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Country | US
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Telephone | 707-829-8373
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Fax | 707-823-9435
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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 | MFC20071
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License Number State | CA
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