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General NPI Number Information
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NPI Number | 1801121660
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Entity Type | Individual
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Provider Name | JENNIFER NOEL SOULE PT
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Gender | Female
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 204 OLD BRICKYARD RD
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-8971
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Country | US
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Telephone | 828-230-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 204 OLD BRICKYARD RD
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-8971
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Country | US
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Telephone | 828-230-5517
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12367
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License Number State | NC
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