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General NPI Number Information
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NPI Number | 1215858386
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Entity Type | Organization
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Legal Business Name | WALTER E B SIPE MD INC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 1425 LEIMERT BLVD STE 204
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City | OAKLAND
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State | CA
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Zip | 94602-1866
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Country | US
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Telephone | 415-483-2112
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Fax | 415-744-1163
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Provider Business Mailing Address
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Address Line | 1425 LEIMERT BLVD STE 204
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City | OAKLAND
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State | CA
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Zip | 94602-1866
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Country | US
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Telephone | 415-483-2112
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Fax | 415-744-1163
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER E.B. SIPE
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Credential | MD
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Telephone | 415-483-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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