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General NPI Number Information
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NPI Number | 1679494660
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Entity Type | Organization
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Legal Business Name | SOUL LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 950 PACIFIC AVE STE 205
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City | TACOMA
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State | WA
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Zip | 98402-4400
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Country | US
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Telephone | 253-229-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 13516 MERIDIAN E UNIT 73123
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City | PUYALLUP
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State | WA
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Zip | 98373-9947
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Country | US
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Telephone | 253-229-9613
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Fax | 253-229-9613
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARZELLA J HARRIS
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Credential | MA
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Telephone | 253-229-9613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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