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General NPI Number Information
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NPI Number | 1881031532
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Entity Type | Individual
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Provider Name | MAHOGANY SPEARS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1423 BROADWAY # 572
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City | OAKLAND
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State | CA
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Zip | 94612-2054
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Country | US
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Telephone | 925-222-5685
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1812
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City | ANTIOCH
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State | CA
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Zip | 94509-0812
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Country | US
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Telephone | 925-222-5685
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 160537
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License Number State | CA
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