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General NPI Number Information
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NPI Number | 1477468551
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Entity Type | Organization
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Legal Business Name | WILDFLOWER TELEHEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2324 ARIA PL
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City | SANTA ROSA
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State | CA
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Zip | 95403-7632
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Country | US
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Telephone | 650-864-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 2443 FILLMORE ST # 380-6499
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1814
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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 | CHIEF STRATEGY OFFICER
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Name | NASH PRINCE
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Credential |
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Telephone | 516-480-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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