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General NPI Number Information
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NPI Number | 1225913981
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Entity Type | Organization
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Legal Business Name | FLOURISH PHYSIATRY
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 400 E JOHN CARPENTER FWY
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City | IRVING
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State | TX
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Zip | 75062-3955
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Country | US
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Telephone | 469-846-8322
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E JOHN CARPENTER FWY
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City | IRVING
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State | TX
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Zip | 75062-3955
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Country | US
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Telephone | 214-919-7763
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Fax | 214-764-9939
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN ELISE TAYLOR
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Credential | DO
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Telephone | 682-597-1829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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