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General NPI Number Information
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NPI Number | 1245035625
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Entity Type | Individual
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Provider Name | CORRINA FLORES
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1075 CREEKSIDE RIDGE DR STE 280
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City | ROSEVILLE
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State | CA
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Zip | 95678-3504
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Country | US
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Telephone | 916-723-3098
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Fax |
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Provider Business Mailing Address
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Address Line | 39455 ALBANY CMN APT R
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City | FREMONT
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State | CA
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Zip | 94538-4700
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Country | US
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Telephone | 510-386-8384
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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