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General NPI Number Information
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NPI Number | 1841136546
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Entity Type | Organization
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Legal Business Name | FLORA METHOD PLLC
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 1108 LOGUE RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3837
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Country | US
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Telephone | 615-412-8657
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Fax | 615-270-2493
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | GLADEVILLE
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State | TN
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Zip | 37071-0023
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Country | US
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Telephone | 615-412-8657
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Fax | 615-270-2493
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KHAISHA GIST
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Credential | MD
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Telephone | 615-412-8657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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