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General NPI Number Information
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NPI Number | 1831089606
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Entity Type | Organization
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Legal Business Name | FRESH START
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 44339 BEECH AVE
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City | LANCASTER
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State | CA
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Zip | 93534-4303
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Country | US
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Telephone | 760-979-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 44339 BEECH AVE
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City | LANCASTER
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State | CA
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Zip | 93534-4303
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Country | US
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Telephone | 888-487-5705
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHENELL L ADAMS
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Credential |
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Telephone | 760-508-1513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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