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General NPI Number Information
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NPI Number | 1235565375
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Entity Type | Organization
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Legal Business Name | ANDREA A. FLORES D.C.,LLC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 135 AVENUE B
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City | BAYONNE
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State | NJ
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Zip | 07002-2037
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Country | US
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Telephone | 201-455-3008
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Fax | 201-455-3005
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Provider Business Mailing Address
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Address Line | 43 E 42ND ST
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City | BAYONNE
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State | NJ
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Zip | 07002-4848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. ANDREA FLORES
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Credential | D.C.
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Telephone | 551-221-5193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NJ
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