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General NPI Number Information
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NPI Number | 1467567362
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Entity Type | Organization
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Legal Business Name | SOMA RESOURCES, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 2449 S WILLIS ST STE 107
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City | ABILENE
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State | TX
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Zip | 79605-6257
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Country | US
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Telephone | 325-695-7860
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Fax | 325-695-2707
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Provider Business Mailing Address
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Address Line | 2449 S WILLIS ST STE 107
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City | ABILENE
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State | TX
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Zip | 79605-6257
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Country | US
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Telephone | 325-695-7860
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Fax | 325-695-2707
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Authorized Official
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Title or Position | ADMINISTRATOR ASSISTANT
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Name | ISELA ORTIZ HOUSTON
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Credential |
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Telephone | 325-695-7860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 117070
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License Number State | TX
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