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General NPI Number Information
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NPI Number | 1235027566
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Entity Type | Individual
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Provider Name | AMY VANESSA FLORES
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 5440 W SAHARA AVE STE 302
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City | LAS VEGAS
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State | NV
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Zip | 89146-0361
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Country | US
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Telephone | 702-633-0207
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Fax | 702-633-5099
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Provider Business Mailing Address
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Address Line | 9105 HOMBARD AVE
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City | LAS VEGAS
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State | NV
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Zip | 89148-2610
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Country | US
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Telephone | 661-808-3073
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3397
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License Number State | NV
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