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General NPI Number Information
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NPI Number | 1326381229
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Entity Type | Individual
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Provider Name | JENNIFER M FLORES NP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 350 PARNASSUS AVE SUITE 404, BOX 0447
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-514-6017
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Fax | 415-353-3787
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Provider Business Mailing Address
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Address Line | 1714 ESTUDILLO ST
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City | MARTINEZ
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State | CA
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Zip | 94553-2533
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Country | US
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Telephone | 646-853-3727
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20236
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License Number State | CA
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