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General NPI Number Information
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NPI Number | 1083912794
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Entity Type | Individual
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Provider Name | ISAAC E FLOREZ PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 1660 S ALBION ST SUITE 309
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City | DENVER
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State | CO
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Zip | 80222-4008
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Country | US
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Telephone | 303-261-8294
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Fax |
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Provider Business Mailing Address
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Address Line | 1685 S COLORADO BLVD SUITE S-109
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City | DENVER
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State | CO
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Zip | 80222-4000
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY3758
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60060442
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0003758
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License Number State | CO
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