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General NPI Number Information
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NPI Number | 1073202164
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Entity Type | Organization
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Legal Business Name | FLOW WELLNESS AND PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 9920 PACIFIC HEIGHTS BLVD STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-4361
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Country | US
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Telephone | 858-255-0357
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Fax |
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Provider Business Mailing Address
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Address Line | 9920 PACIFIC HEIGHTS BLVD STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-4361
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Country | US
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Telephone | 858-255-0357
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JUNE LIANG
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Credential | PH.D.
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Telephone | 858-255-0357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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