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General NPI Number Information
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NPI Number | 1285000174
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Entity Type | Organization
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Legal Business Name | WILLIAM SHRYER
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 4185 BLACKHAWK PLAZA CIR SUITE 250
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City | DANVILLE
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State | CA
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Zip | 94506
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Country | US
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Telephone | 925-648-2650
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Fax | 925-648-2530
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Provider Business Mailing Address
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Address Line | PO BOX 2061
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City | DANVILLE
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State | CA
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Zip | 94526-7061
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Country | US
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Telephone | 925-648-2650
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Fax | 925-648-2530
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Authorized Official
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Title or Position | CLINICAL DIRECTOR / OWNER
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Name | WILLIAM SHRYER
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Credential | LCSW, DCSW
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Telephone | 925-648-2650
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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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