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General NPI Number Information
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NPI Number | 1598702888
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Entity Type | Individual
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Provider Name | RICHARD ALLEN FLOWERS PA
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST # 783
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4190
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-4190
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Country | US
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Telephone | 304-908-9202
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Fax | 304-399-2526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.003668
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA778
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-951
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License Number State | AR
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