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General NPI Number Information
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NPI Number | 1619190253
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Entity Type | Individual
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Provider Name | MICHELE K FLOWERS LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 16 CORONA DR
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City | WATERBURY
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State | CT
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Zip | 06708-1705
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Country | US
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Telephone | 203-598-1878
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 SILVER ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3946
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Country | US
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Telephone | 860-346-0300
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000836
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License Number State | CT
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