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General NPI Number Information
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NPI Number | 1932918174
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Entity Type | Organization
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Legal Business Name | HEAVENLY ANGELS COMMUNITY SERVICES
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 3237 W AVENUE K4
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City | LANCASTER
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State | CA
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Zip | 93536-6616
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Country | US
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Telephone | 661-265-5031
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Fax | 866-574-4417
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Provider Business Mailing Address
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Address Line | 417 WRENWOOD DR
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City | CLAYTON
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State | NC
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Zip | 27527-3398
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Country | US
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Telephone | 661-265-5031
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Fax | 866-574-4417
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. LELA RENEE LEMELL
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Credential |
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Telephone | 661-265-5031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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