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NPI 1972498251

NPI 1972498251 : FLOURISH WITH THE GROVE : COPPELL, TX

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General NPI Number Information
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    NPI Number           |    1972498251
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLOURISH WITH THE GROVE 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    8840 CYPRESS WATERS BLVD STE 150 
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    City                 |    COPPELL
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    State                |    TX
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    Zip                  |    75019-4616
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    Country              |    US
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    Telephone            |    972-876-3214
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8840 CYPRESS WATERS BLVD STE 150 
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    City                 |    COPPELL
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    State                |    TX
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    Zip                  |    75019-4616
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    Country              |    US
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    Telephone            |    972-876-3214
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |     MICHELLE  MARCHESE 
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    Credential           |    
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    Telephone            |    972-876-3214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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