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General NPI Number Information
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NPI Number | 1205024080
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Entity Type | Organization
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Legal Business Name | WILLIAM L. SPIVEY, PH.D., INC.
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST STE 2A
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-893-2001
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Fax | 510-893-2027
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST STE 2A
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-893-2001
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Fax | 510-893-2027
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. WILLIAM L SPIVEY
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Credential | PH.D.
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Telephone | 510-893-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY6159
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License Number State | CA
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