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General NPI Number Information
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NPI Number | 1487433264
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Entity Type | Organization
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Legal Business Name | SHANELLE'S SERENITY, INC
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 18200 CHATSWORTH ST
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City | NORTHRIDGE
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State | CA
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Zip | 91326-3208
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Country | US
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Telephone | 818-581-7938
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Fax | 310-683-0218
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Provider Business Mailing Address
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Address Line | 18200 CHATSWORTH ST
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City | NORTHRIDGE
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State | CA
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Zip | 91326-3208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHANELLE IRANPUR
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Credential | NP
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Telephone | 818-581-7938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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