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General NPI Number Information
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NPI Number | 1023303260
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Entity Type | Individual
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Provider Name | SUSAN W FLORES NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 350 N SWITZER CANYON DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4826
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Country | US
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Telephone | 928-779-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N SWITZER CANYON DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4826
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Country | US
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Telephone | 928-779-0500
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20778.1114
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-1071A
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | AP4797
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License Number State | AZ
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