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General NPI Number Information
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NPI Number | 1477416204
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Entity Type | Organization
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Legal Business Name | SOUL CATERING LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 72 RENNER AVE
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City | NEWARK
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State | NJ
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Zip | 07112-2522
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Country | US
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Telephone | 973-417-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 31 E 2ND ST
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City | BAYONNE
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State | NJ
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Zip | 07002-3403
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Country | US
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Telephone | 973-417-2614
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VICTORIA FUNN
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Credential |
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Telephone | 973-417-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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