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General NPI Number Information
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NPI Number | 1366020240
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Entity Type | Organization
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Legal Business Name | GREG WESTERN AND ASSOCIATES PSYCHOTHERAPY, PC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 5101 E LA PALMA AVE STE 100L
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City | ANAHEIM
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State | CA
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Zip | 92807-2056
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Country | US
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Telephone | 714-420-7378
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 E LA PALMA AVE STE 100L
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City | ANAHEIM
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State | CA
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Zip | 92807-2056
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Country | US
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Telephone | 714-420-7378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY THOMAS WESTERN
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Credential | PSY.D
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Telephone | 714-420-7378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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