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NPI 1053292003

NPI 1053292003 : SOAR HEALTH, INC. : NORTHBROOK, IL

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General NPI Number Information
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    NPI Number           |    1053292003
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOAR HEALTH, INC. 
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Dates
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    Enumeration Date     |    09/08/2025
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    1363 SHERMER RD STE 100 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-4564
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    Country              |    US
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    Telephone            |    773-900-7178
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3401 QUEBEC ST STE 110 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80207-2322
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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    |    SVP
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    Name                 |     DANIEL  SPIEGEL 
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    Credential           |    
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    Telephone            |    618-851-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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