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General NPI Number Information
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NPI Number | 1427857523
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Entity Type | Organization
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Legal Business Name | FLOURISH LACTATION
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 8200 RIVERSIDE RD
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1538
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Country | US
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Telephone | 832-652-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 RIVERSIDE RD
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1538
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Country | US
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Telephone | 832-652-8620
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT
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Name | KATARINA BERNICE WOROSELLO
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Credential |
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Telephone | 832-652-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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