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General NPI Number Information
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NPI Number | 1699692475
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Entity Type | Organization
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Legal Business Name | FLYNT MEDICAL PC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 17664 NEW CUT RD
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City | ATHENS
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State | AL
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Zip | 35611-0908
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Country | US
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Telephone | 256-541-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 17664 NEW CUT RD
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City | ATHENS
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State | AL
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Zip | 35611-0908
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Country | US
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Telephone | 256-541-4443
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Fax |
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Authorized Official
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Title or Position | CRNP/ OWNER
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Name | MR. RAECE FLYNT
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Credential | CRNP
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Telephone | 256-541-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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