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General NPI Number Information
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NPI Number | 1255235107
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Entity Type | Organization
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Legal Business Name | SOUL INC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 13110 HARRELL PKWY STE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46060-3312
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Country | US
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Telephone | 317-717-4158
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Fax |
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Provider Business Mailing Address
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Address Line | 13110 HARRELL PKWY STE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46060-3312
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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 | VICE PRESIDENT
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Name | TIFFANI KNOOP
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Credential |
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Telephone | 317-389-6608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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