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General NPI Number Information
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NPI Number | 1760980858
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Entity Type | Organization
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Legal Business Name | SOUL TO SOUL, PLLC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 5633 STRAND BLVD STE 309
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City | NAPLES
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State | FL
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Zip | 34110-7383
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Country | US
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Telephone | 561-313-7524
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Fax |
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Provider Business Mailing Address
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Address Line | 3258 TAMARA DR APT 4
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City | NAPLES
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State | FL
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Zip | 34109-3867
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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 | LAURA KRISTEN ROMIG
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Credential | LMFT
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Telephone | 561-313-7524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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