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General NPI Number Information
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NPI Number | 1245192582
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Entity Type | Organization
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Legal Business Name | FLICKER MEDICAL LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 10 MAIN ST STE 3
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City | NORTHAMPTON
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State | MA
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Zip | 01062-3158
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Country | US
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Telephone | 413-923-1994
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HADLEY ST
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1011
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Country | US
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Telephone | 413-923-1994
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JILL A GRIFFIN
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Credential | MD
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Telephone | 413-923-1994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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