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General NPI Number Information
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NPI Number | 1952211005
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Entity Type | Organization
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Legal Business Name | NEW LEAF MINISTRIES
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 11555 CORTEZ AVE
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City | ADELANTO
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State | CA
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Zip | 92301-1929
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Country | US
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Telephone | 760-877-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 18729 MUSKRAT AVE
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City | ADELANTO
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State | CA
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Zip | 92301-2337
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Country | US
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Telephone | 760-877-4427
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Fax |
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Authorized Official
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Title or Position | PASTOR
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Name | AMANDA UPTERGROVE
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Credential |
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Telephone | 949-377-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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