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General NPI Number Information
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NPI Number | 1720896806
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Entity Type | Organization
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Legal Business Name | FLOWSTATE WELLNESS PLLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 33 DEER ST UNIT 5A
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3765
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Country | US
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Telephone | 802-318-5035
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Fax |
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Provider Business Mailing Address
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Address Line | 33 DEER ST UNIT 5A
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3765
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Country | US
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Telephone | 802-318-5035
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BRETT RACINE
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Credential | DC
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Telephone | 802-318-5035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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