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General NPI Number Information
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NPI Number | 1295525046
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Entity Type | Organization
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Legal Business Name | FLOURISH HEALTHCARE LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2870 E STATE ST UNIT 1000
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City | SALEM
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State | OH
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Zip | 44460-9334
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Country | US
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Telephone | 330-420-8702
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Fax |
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Provider Business Mailing Address
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Address Line | 11140 BEAVER CREEK RD
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City | SALEM
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State | OH
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Zip | 44460-9233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/ CEO
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Name | MRS. CHELSEA LYNN WITHERS
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Credential | FNP
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Telephone | 330-420-8702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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