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General NPI Number Information
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NPI Number | 1679602411
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Entity Type | Individual
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Provider Name | SARAH E WARNER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 411 30TH ST SUITE 514
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City | OAKLAND
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State | CA
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Zip | 94609-3310
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Country | US
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Telephone | 510-926-1891
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 GREENWOOD AVE
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City | OAKLAND
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State | CA
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Zip | 94602-1106
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Country | US
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Telephone | 510-926-1891
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22055
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License Number State | CA
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