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NPI 1841943735

NPI 1841943735 : THE FLOWER INSTITUTE, LLC : NORTH AUGUSTA, SC

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General NPI Number Information
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    NPI Number           |    1841943735
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE FLOWER INSTITUTE, LLC 
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Dates
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    Enumeration Date     |    01/31/2022
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    Last Update Date     |    11/29/2022
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Provider Practice Location Address
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    Address Line         |    616 EDGEFIELD RD STE 140 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841-6406
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    Country              |    US
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    Telephone            |    803-292-5200
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    Fax                  |    866-464-6522
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Provider Business Mailing Address
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    Address Line         |    616 EDGEFIELD RD STE 140 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841-6406
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    Country              |    US
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    Telephone            |    803-292-5200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TONEISHA  BUSH 
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    Credential           |    MA, CCC-SLP
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    Telephone            |    803-640-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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