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General NPI Number Information
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NPI Number | 1073408209
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Entity Type | Organization
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Legal Business Name | SAGED SOUL HEALING & SELF CARE
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 2 S BRIDGE DR
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City | AGAWAM
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State | MA
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Zip | 01001-2015
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Country | US
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Telephone | 413-244-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 706 NOTT ST
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City | WETHERSFIELD
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State | CT
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Zip | 06109-1467
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Country | US
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Telephone | 860-913-8384
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Fax |
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Authorized Official
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Title or Position | FOUNDER/LEAD PRACTITIONER
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Name | MRS. KRYSTAL BARIFFE
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Credential |
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Telephone | 860-913-8384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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