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General NPI Number Information
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NPI Number | 1942907274
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Entity Type | Organization
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Legal Business Name | FLOWTANICA LLC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2538 4TH AVE APT 403
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City | LOS ANGELES
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State | CA
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Zip | 90018-1888
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Country | US
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Telephone | 805-218-7051
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Fax |
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Provider Business Mailing Address
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Address Line | 2538 4TH AVE APT 403
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City | LOS ANGELES
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State | CA
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Zip | 90018-1888
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA LARES
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Credential | MPH, MA, DOULA
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Telephone | 805-218-7051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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