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General NPI Number Information
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NPI Number | 1104749753
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL HOUSE OF WISDOM, PLLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 13911 CARROLLWOOD VILLAGE RUN
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City | TAMPA
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State | FL
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Zip | 33618-2746
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Country | US
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Telephone | 813-686-4065
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Fax | 813-902-7855
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Provider Business Mailing Address
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Address Line | 13911 CARROLLWOOD VILLAGE RUN
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City | TAMPA
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State | FL
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Zip | 33618-2746
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Country | US
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Telephone | 813-686-4065
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Fax | 813-902-7855
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. JULIAN FRANCIS DESOUZA
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Credential | MD
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Telephone | 386-801-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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