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General NPI Number Information
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NPI Number | 1821882531
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Entity Type | Individual
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Provider Name | GREG OREMLAND APCC
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 2560 PULGAS AVE
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City | EAST PALO ALTO
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State | CA
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Zip | 94303-1323
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Country | US
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Telephone | 650-364-7988
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Fax |
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Provider Business Mailing Address
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Address Line | 160 MEADOWOOD DR
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City | PORTOLA VALLEY
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State | CA
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Zip | 94028-7651
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Country | US
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Telephone | 650-248-6510
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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 | APCC18880
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | APCC18880
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License Number State | CA
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