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General NPI Number Information
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NPI Number | 1114429198
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Entity Type | Individual
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Provider Name | PAUL DANIEL FLORES PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 2525 CAMINO DEL RIO S STE 220
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City | SAN DIEGO
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State | CA
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Zip | 92108-3719
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Country | US
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Telephone | 619-299-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 3754 32ND ST APT 4
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City | SAN DIEGO
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State | CA
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Zip | 92104-3784
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Country | US
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Telephone | 559-346-8543
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40508
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License Number State | CA
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