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General NPI Number Information
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NPI Number | 1356262612
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Entity Type | Organization
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Legal Business Name | SOMA ATHENE LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 50 SANDBAR RD APT D
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City | WINDHAM
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State | ME
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Zip | 04062-5796
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Country | US
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Telephone | 828-619-0081
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Fax | 207-893-8959
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Provider Business Mailing Address
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Address Line | 50 SANDBAR RD APT D
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City | WINDHAM
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State | ME
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Zip | 04062-5796
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Country | US
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Telephone | 828-619-0081
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Fax | 207-893-8959
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | MR. JAMES SKELTON
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Credential | LCSW
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Telephone | 207-955-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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