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General NPI Number Information
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NPI Number | 1891081535
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Entity Type | Individual
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Provider Name | SARA K SHERIFF MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5767 BROADWAY STE 101
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City | OAKLAND
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State | CA
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Zip | 94618-1589
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Country | US
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Telephone | 510-999-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 6125 SNAKE RD
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City | OAKLAND
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State | CA
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Zip | 94611-2618
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Country | US
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Telephone | 510-999-5767
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Fax | 682-219-0891
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A112142
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License Number State | CA
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