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General NPI Number Information
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NPI Number | 1023862125
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Entity Type | Organization
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Legal Business Name | LIFE OF PURPOSE INC.
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2806 N 22ND ST
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City | TAMPA
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State | FL
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Zip | 33605-2762
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Country | US
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Telephone | 813-563-8665
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 RAMBLER IVY LOOP
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City | BRANDON
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State | FL
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Zip | 33510-2674
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Country | US
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Telephone | 813-563-8665
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Fax |
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | TAWANNA TAYLOR
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Credential |
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Telephone | 813-563-8665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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