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General NPI Number Information
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NPI Number | 1285562785
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Entity Type | Organization
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Legal Business Name | HOLISTIC DIRECT PRIMARY CARE
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 13328 SWALLOWTAIL DR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8241
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Country | US
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Telephone | 941-348-2460
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Fax | 949-695-4816
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Provider Business Mailing Address
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Address Line | 13328 SWALLOWTAIL DR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8241
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Country | US
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Telephone | 941-348-2460
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Fax | 949-695-4816
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | DR. JEWEL LOUISE TARTT
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Credential | APRN, DNP
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Telephone | 941-348-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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