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General NPI Number Information
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NPI Number | 1679439673
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Entity Type | Organization
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Legal Business Name | FLOURISH DENTAL AND WELLNESS
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 8329 FREESTAR WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-9454
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Country | US
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Telephone | 407-451-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 8329 FREESTAR WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-9454
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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 | DENTAL HYGIENIST
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Name | NICOLE GARLINGTON-DOUGHTY
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Credential | RDH,BSDH
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Telephone | 407-451-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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