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General NPI Number Information
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NPI Number | 1114355500
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Entity Type | Organization
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Legal Business Name | FLOURISH NATURAL MEDICINE LLC
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 116 3RD ST STE 215
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City | HOOD RIVER
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State | OR
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Zip | 97031-2193
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Country | US
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Telephone | 800-277-0117
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Fax | 844-388-6183
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Provider Business Mailing Address
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Address Line | 116 3RD ST STE 215
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City | HOOD RIVER
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State | OR
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Zip | 97031-2193
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Country | US
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Telephone | 800-277-0117
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Fax | 844-388-6183
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA ANNE DU MOULIN
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Credential | ND
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Telephone | 800-277-0117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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