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General NPI Number Information
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NPI Number | 1417603812
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Entity Type | Organization
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Legal Business Name | SOUL HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 8553 ARGYLE BUSINESS LOOP STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6669
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Country | US
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Telephone | 904-233-3989
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Fax |
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Provider Business Mailing Address
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Address Line | 8553 ARGYLE BUSINESS LOOP STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6669
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Country | US
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Telephone | 904-233-3989
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Fax |
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Authorized Official
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Title or Position | ADMISTRATOR
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Name | MARJORIE PAUL
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Credential | MA
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Telephone | 904-233-3989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NULL
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Taxonomy #3
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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 | NULL
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