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General NPI Number Information
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NPI Number | 1669527248
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Entity Type | Organization
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Legal Business Name | SOAR, INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1904 S MAIN ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-6790
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Country | US
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Telephone | 828-452-1300
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Fax | 828-452-1300
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | BALSAM
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State | NC
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Zip | 28707-0250
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Country | US
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Telephone | 828-226-5533
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Fax | 828-452-1300
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KIMBERLY CASTANO
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Credential | M.A.
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Telephone | 828-226-5533
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-044-046
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License Number State | NC
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