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General NPI Number Information
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NPI Number | 1881452910
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Entity Type | Organization
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Legal Business Name | WILDFLOWER PSYCH PLLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 3333 CLARK RD STE 110
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City | SARASOTA
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State | FL
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Zip | 34231-8437
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Country | US
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Telephone | 408-883-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 6538 FLYCATCHER LN
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8268
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Country | US
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Telephone | 408-605-4182
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/FOUNDER
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Name | DR. ANNA H HUNG
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Credential | PHD
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Telephone | 408-883-9477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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