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General NPI Number Information
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NPI Number | 1588389241
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Entity Type | Organization
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Legal Business Name | FLOWMD WELLNESS CENTER PC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 500 E REMINGTON DR STE 29
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City | SUNNYVALE
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State | CA
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Zip | 94087-2612
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Country | US
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Telephone | 408-431-0635
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E REMINGTON DR STE 29
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City | SUNNYVALE
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State | CA
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Zip | 94087-2612
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Country | US
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Telephone | 408-431-0635
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONG RAN
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Credential | MD
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Telephone | 408-431-0635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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