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General NPI Number Information
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NPI Number | 1245381672
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Entity Type | Individual
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Provider Name | RICHARD FRANCIS SOULE LICENSE SOCIAL WORKE
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Gender | Male
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 560 E 3RD ST
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City | ERIE
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State | PA
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Zip | 16507-1753
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Country | US
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Telephone | 814-878-4939
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 STELLAR DR
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City | ERIE
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State | PA
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Zip | 16506-4728
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Country | US
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Telephone | 814-835-0358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW008789L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | SW008789L
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License Number State | PA
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