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General NPI Number Information
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NPI Number | 1881785145
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Entity Type | Individual
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Provider Name | STEVEN W. FLANNES PH.D. CLINICAL PSYCH
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1980 MOUNTAIN BLVD, SUITE 201
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City | OAKLAND
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State | CA
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Zip | 94611
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Country | US
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Telephone | 510-421-3981
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Fax | 510-654-9319
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Provider Business Mailing Address
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Address Line | 6114 LA SALLE AVE #473
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City | OAKLAND
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State | CA
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Zip | 94611
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Country | US
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Telephone | 510-421-3981
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Fax | 510-654-9319
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY7139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY7139
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License Number State | CA
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