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General NPI Number Information
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NPI Number | 1295347334
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Entity Type | Individual
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Provider Name | ABRAM JACOB FLORES PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3454 ZAFARANO DR STE A
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City | SANTA FE
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State | NM
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Zip | 87507-2667
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Country | US
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Telephone | 505-216-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 FM 660
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City | FERRIS
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State | TX
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Zip | 75125-8780
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Country | US
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Telephone | 972-533-7038
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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