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General NPI Number Information
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NPI Number | 1609443431
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Entity Type | Organization
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Legal Business Name | SOUL SAVVY WELLNESS CENTER INC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 4800 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1446
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Country | US
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Telephone | 786-332-4316
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Fax | 786-409-3682
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Provider Business Mailing Address
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Address Line | 4800 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1446
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IDALMA SALDANA TRAVIESO
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Credential |
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Telephone | 786-738-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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