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General NPI Number Information
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NPI Number | 1164382073
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Entity Type | Organization
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Legal Business Name | SPIRITUALLY FIT LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 43443 MEADOWLARK CIR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-3351
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Country | US
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Telephone | 586-362-1472
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Fax |
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Provider Business Mailing Address
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Address Line | 11807 DUCHESS ST
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City | DETROIT
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State | MI
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Zip | 48224-1593
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Country | US
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Telephone | 313-312-4316
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MISS BARBARA LAVONNE TRAVIS
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Credential |
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Telephone | 586-362-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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