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General NPI Number Information
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NPI Number | 1447896253
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Entity Type | Organization
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Legal Business Name | NEXT STEPS NEURO PSYCHOLOGY PC
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1610 HARRISON ST STE E
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City | OAKLAND
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State | CA
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Zip | 94612-3359
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Country | US
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Telephone | 510-485-0008
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Fax | 510-485-0009
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Provider Business Mailing Address
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Address Line | 1610 HARRISON ST STE E
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City | OAKLAND
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State | CA
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Zip | 94612-3359
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Country | US
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Telephone | 510-485-0008
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Fax | 510-485-0009
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Authorized Official
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Title or Position | CLINICAL NEUROPSYCHOLOGIST
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Name | DR. K WORTMAN
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Credential | PHD
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Telephone | 510-485-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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