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General NPI Number Information
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NPI Number | 1487242913
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Entity Type | Individual
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Provider Name | OREA J MOLINA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 2814 WOODCLIFF CIR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-3155
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Country | US
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Telephone | 616-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 4893 E BELTLINE AVE NE STE 310
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-9787
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Country | US
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Telephone | 616-302-9141
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | MI
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