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General NPI Number Information
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NPI Number | 1255493565
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Entity Type | Individual
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Provider Name | STEPHEN ROGER SETTERBERG MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 3010 COLBY ST STE 221
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City | BERKELEY
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State | CA
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Zip | 94705-2056
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Country | US
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Telephone | 844-763-3560
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Fax | 510-680-1849
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Provider Business Mailing Address
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Address Line | 12915 63RD AVE N
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City | MAPLE GROVE
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State | MN
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Zip | 55369-6001
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Country | US
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Telephone | 763-383-5800
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Fax | 763-383-5801
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 36051
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G-147958
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 36051
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G-147958
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License Number State | CA
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