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General NPI Number Information
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NPI Number | 1073485280
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Entity Type | Individual
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Provider Name | ANDREW THOMAS SANTANIELLO APCC
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 9925 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94603-2558
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Country | US
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Telephone | 510-916-5815
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Fax |
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Provider Business Mailing Address
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Address Line | 1637 62ND ST
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City | BERKELEY
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State | CA
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Zip | 94703-2603
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Country | US
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Telephone | 571-269-9691
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC20531
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License Number State | CA
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