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General NPI Number Information
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NPI Number | 1912875329
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Entity Type | Organization
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Legal Business Name | PENINSULA FAMILY CONNECTIONS
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 414 4TH AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3726
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Country | US
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Telephone | 669-237-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 3460 W BAYSHORE RD STE 202
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City | EAST PALO ALTO
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State | CA
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Zip | 94303-4270
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Country | US
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Telephone | 669-237-8911
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ERIC VALLADARES
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Credential | LMFT
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Telephone | 669-254-5244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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