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General NPI Number Information
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NPI Number | 1104087287
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Entity Type | Individual
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Provider Name | PATRICK HENRY FLORES D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3100 N TENAYA WAY POB 1569
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City | LAS VEGAS
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State | NV
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Zip | 89128-0436
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Country | US
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Telephone | 702-255-5025
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Fax | 702-671-6883
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Provider Business Mailing Address
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Address Line | 3100 N TENAYA WAY POB 1569
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City | LAS VEGAS
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State | NV
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Zip | 89128-0436
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Country | US
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Telephone | 702-255-5025
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Fax | 702-671-6883
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | DO1486
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License Number State | NV
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