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General NPI Number Information
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NPI Number | 1205081254
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Entity Type | Organization
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Legal Business Name | ANGELUS THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 401 N JEFFERSON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-2238
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Country | US
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Telephone | 724-654-9555
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Fax | 724-498-0976
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Provider Business Mailing Address
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Address Line | 401 N JEFFERSON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-2238
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Country | US
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Telephone | 724-654-9555
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Fax | 724-498-0976
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Authorized Official
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Title or Position | DIRECTOR
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Name | NESSA L SMITH
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Credential | LCSW MSW MBA
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Telephone | 724-654-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 89319997
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License Number State | PA
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