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General NPI Number Information
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NPI Number | 1982575296
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Entity Type | Individual
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Provider Name | REBECCA BEREN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3316 LAGUNA WAY STE B
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City | OAKLAND
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State | CA
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Zip | 94602-2818
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Country | US
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Telephone | 510-255-1803
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Fax |
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Provider Business Mailing Address
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Address Line | 3075 CALIFORNIA ST
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City | OAKLAND
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State | CA
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Zip | 94602-3907
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Country | US
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Telephone | 520-730-1724
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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 | 154618
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License Number State | CA
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