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General NPI Number Information
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NPI Number | 1881936748
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Entity Type | Organization
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Legal Business Name | HEART & SOUL LLC
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6147 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23605-1511
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Country | US
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Telephone | 757-826-1300
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Fax | 804-482-3761
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Provider Business Mailing Address
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Address Line | 1414 CRISPELL CT
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City | HAMPTON
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State | VA
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Zip | 23666-2427
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Country | US
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Telephone | 757-838-3970
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | DR. EDNORA B. MASON
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 757-342-5461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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