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General NPI Number Information
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NPI Number | 1952627341
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Entity Type | Individual
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Provider Name | ALEXIS LYNN FLOWERS LPN, MSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2010
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 205 N LAKEVIEW AVE
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City | STURGIS
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State | MI
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Zip | 49091-1540
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Country | US
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Telephone | 269-689-9104
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Fax |
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Provider Business Mailing Address
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Address Line | 726 N LAKEVIEW AVE
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City | STURGIS
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State | MI
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Zip | 49091-1207
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Country | US
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Telephone | 269-689-9104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 27063933A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 4703099833
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801113554
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801105370
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License Number State | MI
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