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General NPI Number Information
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NPI Number | 1093833485
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Entity Type | Individual
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Provider Name | DENNIS NEWLIN MFT
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 2410 MERCED ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4211
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Country | US
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Telephone | 510-278-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 6808 GUNN DR
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City | OAKLAND
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State | CA
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Zip | 94611-1443
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Country | US
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Telephone | 510-339-3045
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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 | MFT32034
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License Number State | CA
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