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General NPI Number Information
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NPI Number | 1699690826
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Entity Type | Organization
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Legal Business Name | HOLISTIC AYUQI LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 4387 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33351-6211
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Country | US
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Telephone | 954-519-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 NW 66TH TER
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City | TAMARAC
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State | FL
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Zip | 33321-7015
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Country | US
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Telephone | 954-519-8971
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Fax |
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Authorized Official
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Title or Position | FNP-C
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Name | SYDIA SPENCE
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Credential |
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Telephone | 954-519-8971
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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 |
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