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General NPI Number Information
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NPI Number | 1194646760
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Entity Type | Organization
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Legal Business Name | REMEDY SOUL CARE, PLLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1225 MONTEITH AVE
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City | HERNANDO
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State | MS
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Zip | 38632-7665
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Country | US
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Telephone | 901-488-1107
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Fax | 855-395-0944
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Provider Business Mailing Address
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Address Line | 1048 RANCH RD
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City | HERNANDO
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State | MS
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Zip | 38632-2466
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Country | US
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Telephone | 901-488-1107
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Fax | 855-395-0944
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Authorized Official
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Title or Position | OWNER/LPC
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Name | KAM DUNCAN
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Credential | LPC
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Telephone | 901-488-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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