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General NPI Number Information
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NPI Number | 1003542804
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Entity Type | Individual
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Provider Name | JOHANA J FLORES SLPA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 222 N SUNSET AVE STE D
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City | WEST COVINA
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State | CA
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Zip | 91790-2278
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Country | US
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Telephone | 562-693-5449
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Fax |
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Provider Business Mailing Address
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Address Line | 9935 GREENWOOD AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-3117
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Country | US
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Telephone | 323-459-4061
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 6823
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License Number State | CA
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