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General NPI Number Information
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NPI Number | 1902741937
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Entity Type | Organization
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Legal Business Name | JULIA'S SPIRIT OF LIFE LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 6701 OSTEEN RD APT 8
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3609
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Country | US
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Telephone | 172-749-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 OSTEEN RD APT 8
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3609
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Country | US
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Telephone | 172-749-5365
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Fax |
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Authorized Official
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Title or Position | OWNER /WORKER
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Name | MS. JULIA D DAVIS
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Credential |
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Telephone | 727-495-3656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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