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NPI 1902091473

NPI 1902091473 : SARAH BHARIER PSYD : OAKLAND, CA

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General NPI Number Information
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    NPI Number           |    1902091473
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH BHARIER PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2007
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    Last Update Date     |    08/20/2019
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Provider Practice Location Address
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    Address Line         |    1904 FRANKLIN ST STE 300 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94612-2921
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    Country              |    US
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    Telephone            |    510-853-4271
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3301 E 12TH ST SUITE 259
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94601-3424
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    Country              |    US
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    Telephone            |    510-853-4271
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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       |    26083
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY26083
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    License Number State |    CA
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