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General NPI Number Information
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NPI Number | 1063370971
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Entity Type | Organization
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Legal Business Name | SPIRIT SOUL AND BODY INTEGRATIVE HEALTH, LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 211 S WASHINGTON BLVD
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City | HAMILTON
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State | OH
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Zip | 45013-3547
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Country | US
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Telephone | 937-508-8903
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Fax | 800-360-5012
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Provider Business Mailing Address
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Address Line | 211 S WASHINGTON BLVD
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City | HAMILTON
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State | OH
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Zip | 45013-3547
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Country | US
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Telephone | 937-508-8903
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Fax | 800-360-5012
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KRISTEN DAVIS
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Credential | CNP
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Telephone | 937-508-8903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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