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General NPI Number Information
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NPI Number | 1043096787
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Entity Type | Organization
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Legal Business Name | FLOWSTATE THERAPY PLLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 247 CHARLOTTE ST STE 204
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City | ASHEVILLE
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State | NC
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Zip | 28801-1468
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Country | US
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Telephone | 828-222-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DESOTA ST
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City | ASHEVILLE
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State | NC
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Zip | 28806-4425
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Country | US
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Telephone | 828-551-3109
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | NICHOLAS CZAPLA
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Credential |
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Telephone | 828-551-3109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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