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General NPI Number Information
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NPI Number | 1205638822
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Entity Type | Individual
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Provider Name | ANTHONY FLORES
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Gender | Male
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 348 N CANYONS PKWY
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City | LIVERMORE
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State | CA
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Zip | 94551-9185
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Country | US
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Telephone | 866-375-2437
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Fax | 408-273-6905
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Provider Business Mailing Address
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Address Line | 910 CAMPISI WAY STE A1
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City | CAMPBELL
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State | CA
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Zip | 95008-2350
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Country | US
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Telephone | 866-375-2437
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Fax | 408-273-6905
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-388462
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License Number State | CA
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