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General NPI Number Information
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NPI Number | 1821921651
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Entity Type | Organization
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Legal Business Name | THE FULL FLOWER LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 84 W 25TH ST APT C6
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City | BAYONNE
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State | NJ
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Zip | 07002-2761
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Country | US
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Telephone | 201-410-8924
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Fax |
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Provider Business Mailing Address
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Address Line | 84 W 25TH ST APT C6
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City | BAYONNE
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State | NJ
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Zip | 07002-2761
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Country | US
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Telephone | 201-410-8924
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YASMINE PAEZ
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Credential | LCSW
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Telephone | 201-410-8924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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