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General NPI Number Information
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NPI Number | 1861758161
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Entity Type | Organization
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Legal Business Name | SOUL ATTENTION, LLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 1355 S 8TH ST STE 207
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7022
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Country | US
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Telephone | 719-351-4251
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 S 8TH ST STE 207
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7022
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Country | US
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Telephone | 719-351-4251
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANCY J. BEACH
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Credential | LPC, RN
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Telephone | 719-351-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN-117289
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License Number State | CO
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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 | LPC-6034
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License Number State | CO
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