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General NPI Number Information
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NPI Number | 1053248005
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Entity Type | Organization
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Legal Business Name | FLOURISHING MINDS INTEGRATIVE PSYCHIATRY LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 208 3RD AVE SW
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City | FARLEY
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State | IA
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Zip | 52046-9673
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Country | US
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Telephone | 563-543-2061
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Fax | 563-594-5300
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Provider Business Mailing Address
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Address Line | 208 3RD AVE SW
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City | FARLEY
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State | IA
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Zip | 52046-9673
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Country | US
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Telephone | 563-543-2061
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Fax | 563-594-5300
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Authorized Official
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Title or Position | DNP ARNP PMHNP-BC
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Name | EARLENE M ANGELL
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Credential | DNP ARNP PMHNP-BC
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Telephone | 563-543-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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