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General NPI Number Information
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NPI Number | 1801649363
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Entity Type | Individual
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Provider Name | ALECIA DEANGELIS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 31841 GRAND CANYON DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2803
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Country | US
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Telephone | 949-328-5693
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Fax | 949-276-3212
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Provider Business Mailing Address
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Address Line | 31841 GRAND CANYON DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2803
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Country | US
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Telephone | 602-802-4344
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Fax | 949-276-3212
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95029651
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License Number State | CA
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