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General NPI Number Information
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NPI Number | 1164300216
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Entity Type | Organization
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Legal Business Name | WILDFLOWER OBGYN LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 341 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6208
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Country | US
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Telephone | 208-279-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 341 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6208
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Country | US
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Telephone | 208-279-1099
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Fax |
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Authorized Official
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Title or Position | OWNER / DO
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Name | JENNIFER HUDSON
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Credential | DO
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Telephone | 208-279-1098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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