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General NPI Number Information
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NPI Number | 1134725021
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Entity Type | Individual
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Provider Name | STEVEN BARRIE-ANTHONY PH.D., PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 901 PERALTA AVE
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City | ALBANY
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State | CA
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Zip | 94706-2117
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Country | US
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Telephone | 510-500-9722
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Fax | 510-890-4089
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Provider Business Mailing Address
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Address Line | 5505 COLUMBIA AVE
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City | RICHMOND
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State | CA
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Zip | 94804-5627
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Country | US
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Telephone | 510-500-9722
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Fax | 510-890-4089
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | RP286
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License Number State | CA
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