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General NPI Number Information
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NPI Number | 1548972003
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Entity Type | Organization
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Legal Business Name | FLOURISHING PEACEFUL FAMILIES
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY STE 3337
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City | LOUISVILLE
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State | KY
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Zip | 40217-1415
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Country | US
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Telephone | 502-548-8735
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 552
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City | PROSPECT
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State | KY
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Zip | 40059-0552
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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 | APRN
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Name | WHITNEY GRAVES
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Credential | DNP, APRN, FNP-C
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Telephone | 502-548-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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