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General NPI Number Information
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NPI Number | 1598638322
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Entity Type | Organization
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Legal Business Name | FLOURISHING TOTS, LLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 615 SE 1ST AVE
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City | CANBY
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State | OR
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Zip | 97013-3809
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Country | US
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Telephone | 828-468-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 32050 SW WILLAMETTE WAY E
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City | WILSONVILLE
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State | OR
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Zip | 97070-9596
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Country | US
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Telephone | 828-468-8687
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA GONZALES
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Credential | RN
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Telephone | 828-468-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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