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General NPI Number Information
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NPI Number | 1144092032
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Entity Type | Individual
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Provider Name | MARCUS STEPHEN FLORES PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1470 MADISON AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10029-6542
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Country | US
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Telephone | 212-241-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 948 BANTA PL APT B
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1752
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Country | US
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Telephone | 201-779-1435
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 3153598
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 5151124
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 070967
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License Number State | NY
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