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General NPI Number Information
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NPI Number | 1093630857
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Entity Type | Organization
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Legal Business Name | SOUL ANCHOR THERAPEUTICS & ESTHETICS
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 334 AVENUE OF AMERICAS STE 400
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City | NEW WINDSOR
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State | NY
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Zip | 12553-4752
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Country | US
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Telephone | 845-420-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CRANS RD
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City | MIDDLETOWN
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State | NY
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Zip | 10941-5001
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Country | US
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Telephone | 845-420-0329
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE VESELY
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Credential |
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Telephone | 845-420-0329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 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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