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General NPI Number Information
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NPI Number | 1265378780
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Entity Type | Organization
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Legal Business Name | A BEAUTIFUL SOUL LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1300 FOXGLOVE LN
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City | BURLESON
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State | TX
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Zip | 76028-2737
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Country | US
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Telephone | 901-608-1966
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Fax | 901-608-1966
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Provider Business Mailing Address
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Address Line | 1300 FOXGLOVE LN
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City | BURLESON
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State | TX
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Zip | 76028-2737
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Country | US
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Telephone | 901-608-1966
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Fax | 901-608-1966
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MRS. DANIELL RYAN ECTOR
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Credential | REGISTERED NURSE
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Telephone | 901-608-1966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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