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General NPI Number Information
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NPI Number | 1306740386
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Entity Type | Organization
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Legal Business Name | LIVING LIFE ON P.U.R.P.O.S.E. LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 36153
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 813-771-3233
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Fax | 813-771-3113
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 36153
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 813-771-3233
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Fax | 813-771-3113
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | INEZ DAVIS COOKE
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Credential | MSN-ED., APRN, FNP-C
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Telephone | 941-527-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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