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General NPI Number Information
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NPI Number | 1538053590
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Entity Type | Organization
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Legal Business Name | SNSCOE HOLISTIC SERVICES, LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2502 N LINKS AVE
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City | SARASOTA
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State | FL
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Zip | 34234-2539
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Country | US
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Telephone | 941-302-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 N LINKS AVE
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City | SARASOTA
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State | FL
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Zip | 34234-2539
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Country | US
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Telephone | 941-302-1156
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | SHATREVIA SPIKES
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Credential |
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Telephone | 941-302-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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