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General NPI Number Information
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NPI Number | 1528351244
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Entity Type | Organization
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Legal Business Name | CARING SOULS, INC
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 4401 QUEENS AVE
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City | DAYTON
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State | OH
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Zip | 45406-3229
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Country | US
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Telephone | 937-520-0364
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Fax | 937-275-9254
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Provider Business Mailing Address
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Address Line | 4401 QUEENS AVE
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City | DAYTON
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State | OH
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Zip | 45406-3229
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Country | US
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Telephone | 937-520-0364
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Fax | 937-275-9254
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MISS LASHANDA PATRICE CAMPBELL
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Credential | LPN
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Telephone | 937-520-0364
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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 | 143310
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License Number State | OH
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