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General NPI Number Information
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NPI Number | 1235417536
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Entity Type | Individual
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Provider Name | JANET ELAINE FLORES M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 926 HINMAN ST
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City | PRESCOTT
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State | AZ
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Zip | 86305-1620
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Country | US
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Telephone | 928-717-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 146 S GRANITE ST
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City | PRESCOTT
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State | AZ
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Zip | 86303-4710
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Country | US
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Telephone | 928-445-5400
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2545987
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License Number State | AZ
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