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General NPI Number Information
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NPI Number | 1992495881
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Entity Type | Organization
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Legal Business Name | FLOURISH HEALTH
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 59 STILES RD STE 104
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City | SALEM
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State | NH
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Zip | 03079-5816
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Country | US
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Telephone | 617-605-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BLUEBERRY HL
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City | PEPPERELL
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State | MA
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Zip | 01463-4200
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Country | US
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Telephone | 617-605-6755
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEAGHAN LUTHER
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Credential | NP
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Telephone | 617-605-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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