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General NPI Number Information
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NPI Number | 1104707355
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Entity Type | Organization
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Legal Business Name | FLASH WELLNESS, LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 705 HARVARD ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2842
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Country | US
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Telephone | 352-345-8070
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Fax | 888-690-5082
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Provider Business Mailing Address
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Address Line | 705 HARVARD ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2842
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Country | US
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Telephone | 352-345-8070
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Fax | 888-690-5082
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN WILSON
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Credential | APRN
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Telephone | 239-241-3162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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