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General NPI Number Information
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NPI Number | 1679772073
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Entity Type | Individual
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Provider Name | ANNE SAGEWOOD LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/21/2018
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Provider Practice Location Address
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Address Line | 6355 TELEGRAPH AVE SUITE 305
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-469-9066
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Fax | 510-530-5296
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Provider Business Mailing Address
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Address Line | PO BOX 353
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City | ORINDA
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State | CA
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Zip | 94563-0353
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Country | US
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Telephone | 510-469-9066
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Fax | 510-530-5296
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT33718
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License Number State | CA
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